Dense mucoid fluid was drained from the sphenoid sinus via an endoscopic transseptal sphenoidotomy
Caution must be exercised when extending a sphenoidotomy
inferiorly during endoscopic sinus surgery.
A wide sphenoidotomy
was then created, and the mass was partially excised with the use of curved suction and curved instrumentation (figure 2).
The ENT service was contacted urgently, and an emergency endoscopic sphenoidotomy
was performed within hours of referral.
The left endoscopic sphenoidotomy
was also carried out in a similar manner.
The patient underwent a right endoscopic medial maxillectomy, complete ethmoidectomy, and sphenoidotomy
The patient was taken to the operating room for right endoscopic sinus surgery and transnasal sphenoidotomy
The patient was later brought back to our institution for removal of the epidermoid, which was accomplished with an image-guided endoscopic sphenoidotomy
and marsupialization of the lesion.
He was then taken to the operating room for image-guided bilateral endoscopic sphenoidotomy
Complete symptom relief was achieved only after she had undergone surgical sphenoidotomy
and treatment with anti--H pylori medication.
(1) was carried out with a microdebrider through the natural ostium of the right sphenoid sinus (figure, B).
Accordingly, the patient was taken to the operating room, where he underwent image-guided sphenoidotomy
with drainage and marsupialization of the mucocele.