Case Study of a Rare Disease Sphenochoanal Polyp | Chapter 3 | New Visions in Medicine and Medical Science Vol. 4

 Sphenochoanal polyp is a rare form of choanal polyp that originates from the sphenoid sinus and extends to the posterior choanae via sphenoethmoidal recess. Its occurrence is extremely rare. The polyp was found to attach to the junction of the lateral wall and floor of the sphenoid. They can be easily mistaken for antrochoanal polyps. Symptomatically, it is similar to an antrochoanal polyp. So, adequate preoperative evaluation with diagnostic nasal endoscopy and computed tomography or magnetic resonance imaging is necessary for correct diagnosis and planning of appropriate surgical procedures. Surgical resection is the treatment modality of choice. We here present a case of sphenochoanal polyp along with a review of the literature. A 27-year-old female presented in OPD with the complaint of right-side nasal obstruction for two years with mouth breathing and snoring for one year. Her anterior rhinoscopy examination was normal, but on diagnostic endoscopic examination, a pale whitish polyp was seen, which on decongestion was seen coming through the right sphenoethmoid recess and nasopharynx. The combination of history, nasal endoscopic examination and radiology leads us to diagnosis. Transnasal endoscopic resection is the treatment of choice.

Author(s) Details:

Amber Kesarwani,
All India Institute of Medical Sciences, India.

Darwin Kaushal,
All India Institute of Medical Sciences, India.

Rahul Kumar Singh,
All India Institute of Medical Sciences, India.

Amit Goyal,
All India Institute of Medical Sciences, India.


Please see the link here: https://stm.bookpi.org/NVMMS-V4/article/view/13999

A Case Report: Mucocele of the Sphenoid, Ethmoid and Frontal Sinuses Presenting with Proptosis, Visual Impairment and Diplopia | Chapter 4| Research Trends and Challenges in Medical Science Vol. 7

The paranasal sinus mucocele is the accumulation inside the sinus of mucoid secretion caused by obstruction of the sinus ostium. Occasionally, proptosis, diplopia and visual impairment are present. Cerebral abscesses or meningitis are occasionally present. It is more common in the frontal sinuses, less common in the ethmoid sinuses, and less common in the sphenoid sinuses, which make up less than 2% of all mucocele sinuses in the paranasal sinuses. A case of paranasal sinus mucocele with proptosis in the right eye, diplopia, vision impairment and headache have been identified. Magnetic resonance imaging (MRI) showed a polyp in the right anterior ethmoid sinus and the mucocele of the sphenoid, ethmoid and right frontal sinuses resulted in the nasal cavity. To avoid intracranial and intraorbital extension and its complications, early diagnosis and prompt management are of utmost importance. In order to determine the extent of the mucocele, MRI is the best process. In the separation of mucocele from Sino nasal tumours, contrast enhanced MRI is beneficial.

Author(s) Details 

Professor, Dr. Pratiksha Yadav

Department of Radio-diagnosis, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.

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