The goals of the treatment of paranasal sinuses mucocele are the relief of the symptoms
due to compression and the prevention of recurrence. Because of the benignity of the
pathology, it is mandatory to choose the approach that minimizes the surgical trauma.
When an anterior clinoid mucocele is found, the conventional approaches are the trans-nasoethmoidal,
the subtemporal or the pterional ones: we think that as a really mini-invasive approach,
the transnasal endoscopy may be proposed. Anterior clinoid localization may be reached
by a trans-sphenoidal way and treated by endoscopic microsurgery with a very low morbility.
This paper deals with a case of anterior clinoid mucocele treated by this way with
good anatomic and functional results and stresses the importance of the preoperative
imaging (CT/MR) allowing one to make a sure diagnosis and to choose the cases suitable
for this surgical approach.
Paranasal sinus mucocele - Anterior clinoid mucocele - Ophthalmological complications
of paranasal sinus mucocele - Endoscopic sinus surgery
