Bilateral sphenoid sinus mucocele observed in Yaoundé-Cameroon: a case report

Abstract

A mucocele is a cystic and expansive lesion of the
sinus cavities. It is uncommon in the sphenoid sinus
and its management is quite challenging especially
in low to middle income countries like Cameroon. A
43-years-old female was referred to us by a
neurologist for chronic headache and visual
disturbances. The pain was unresponsive to
analgesics. Physical examination was nonremarkable and a head CT scan realized showed a
cyst-like lesion in the sphenoid sinus cavity. Surgical
endoscopic treatment was proposed and realized
with basic endoscopic instruments, consisting of
opening the cavity with drainage of the mucocele.
A large opening was made on the anterior wall of
the sphenoid sinus, in order to ensure continuous
drainage and prevent a recurrence. Sphenoid sinus
mucocele is a rare condition, and its diagnosis can
be difficult. Confirmation requires specific imaging
and treatment is presently well established, but it
can be managed with basic tools.