ABSTRACT
Sinus mucoceles are benign, slowly enlarging, mucous-secreting, cystic lesions whose
expansile growth may lead to compressive neuropathies. We present the case of a 70-year-old
woman with a long-standing history of headaches and progressive ocular neuropathy
who underwent an endoscopic resection of a large sphenoid sinus mucocele resulting
in immediate improvement of her neurological symptoms. The endoscopic endonasal transsphenoidal
approach offers a minimally invasive method to manage and treat symptomatic sinus
mucoceles.
KEYWORDS
Endoscopy - paranasal mucocele - endonasal approach - minimally invasive
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Alan SiuM.D.
Department of Neurological Surgery, George Washington University
2150 Pennsylvania Avenue, NW, Suite 7-420, Washington, DC 20037
eMail: askew01@gwu.edu
