Minim Invasive Neurosurg 1997; 40(4): 144-147
DOI: 10.1055/s-2008-1053436
© Georg Thieme Verlag Stuttgart · New York

Anterior Clinoid Mucocele: A Trans-Nasal Endoscopic Approach

G. Garaventa1 , T. Arcuri2 , S. Schiavoni2 , M. Fonzari3
  • 1ENT Section (Chief: Prof. E. A. Pallestrini)
  • 2Neuroradiology (Chief: Prof. M. Rosa)
  • 3Neurology (Chief: Prof. G. Regesta)
  • Head & Neck Department (DRTC), San Martino Hospital, Genova, Italy
Further Information

Publication History

Publication Date:
18 March 2008 (online)

Abstract

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.

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