Endoscopic transnasal
sphenoidotomy requires good hemostasis in the operative field.
Uncinectomy and middle meatal antrostomy ethmoidectomy, frontal recess surgery and
sphenoidotomy were done in 18 (34.
Dense mucoid fluid was drained from the sphenoid sinus via an endoscopic transseptal
sphenoidotomy.
Another case has been reported by Jennifer L Peterson et al in 2012 where the patient underwent an extensive surgical resection, which involved a right anterior and posterior ethmoidectomy,
sphenoidotomy, a maxillary antrostomy, and a frontal sinusotomy with the removal of contents and an inferior turbinate reduction.
In group 1, 5 patients and in group 2, none had undergone uncinectomy, middle meatal antrostomy, ethmoidectomy and
sphenoidotomy (fig 1).
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.
