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  • Title: Importance of intra-operative imaging for sphenoid sinus disease.
    Author: Philip R, Prepageran N, Waran V.
    Journal: J Laryngol Otol; 2007 Sep; 121(9):e14. PubMed ID: 17625037.
    Abstract:
    INTRODUCTION: Sphenoid sinus mucoceles comprise 1-2 per cent of paranasal sinus mucoceles. Endoscopic marsupialisation is currently the treatment of choice. CASE REPORT: We present a patient with a sphenoid mucocele whose sphenoid sinus cavity appeared normal on endoscopy due to a horizontal plate of accessory septa, below the sphenoid ostia. The mucocele was in the inferior portion of the sinus below the septa, expanding the sinus inferiorly. CONCLUSION: Intra-operative imaging was essential in the successful management of this patient's condition. Although endoscopy offers direct visualisation, endoscopic surgeons must be aware of the anatomical variations in this region. Intra-operative imaging modalities such as image guidance systems and image intensifiers are often vital for safe surgery.
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