Patient | Age | Gender | History | Symptoms | CT scan | MRI | Diagnosis | Procedure | Surgery complications | Follow-up |
---|---|---|---|---|---|---|---|---|---|---|
1 | 11 | M | - | Headaches+++ Trismus+ | Figure 1A | Figure 1B | Sphenoid sinus mucocele extended to intra-temporal fossa with fibrous dysplasia | Trans-nasal sphenoidotomy | None | - |
2 | 17 | F | GERD | Headaches++ Posterior rhinorrhea+ Cacosmia++ | Figure 2A | - | Fungal ball | Trans-ethmoidal sphenoidotomy | None | Figure 2B |
3 | 59 | F | High blood pressure | Headaches+++ Nasal obstruction+++ Sleep apnea | Figure 3A | Figure 3B | Chondroma | Transseptal sphenoidotomy | None | Figure 3C & D |
4 | 19 | F | - | Headaches+ Nasal obstruction++ Rhinorrhea+ | Figure 4A & B | - | Spheno-choanal polype | Trans-nasal sphenoidotomy | None | - |
5 | 37 | F | - | Headaches+++ Vomiting Cacosmia ++ Diplopia++ | Figure 5A | Figures 5B & C | Pseudotumor fungal sinusitis | Trans-nasal sphenoidotomy | Persistent left medial rectus muscle paresis | Figure 5D |
6 | 41 | F | - | Headaches+++ Vomiting Decreased visual acuity++ | Figure 6 | - | Acute bacterial sinusitis | Trans-nasal sphenoidotomy | None | Complete recovery with normal visual acuity |
7 | 67 | F | Type 2 diabetes ketoacidosis | Headaches+++ Left eye blindness Ophthalmoplegia Fever confusion | Total filling of the left sphenoid sinus | Figure 7 | Acute invasive fungal sinusitis | Trans-ostial sphenoidotomy | None | Deceased because of refractory hemorrhagic syndrome |