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
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.