Sphenoid sinus affections in children are very rare occurrences due to the late development of the sinus and treatment may present quite a challenge even to the most skillful surgeon because of the small nasal fossae. Due to the often vague and uncharacteristic symptomatology sphenoid sinus disease is misdiagnosed and the treatment is delayed, sometimes with serious complications that are life threatening if not properly managed. We present the case of a six year old patient with a mucocele affecting an unusually large sphenoid sinus with concomitant Graves-like ophthalmopathy that has been treated through functional endoscopic sinus surgery but also needed prolonged cortisonic treatment.
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1. Haimi-Cohen Y. Amir J. Zeharia A. Danziger Y. Ziv N. & Mimouni M. (1999). Isolated sphenoidal sinusitis in children. Europeanjournal of pediatrics 158(4) 298-301.
2. Ai D. Huang J. Zhang H. Huang M. Chen M. & Gao L. (2011). The diagnosis and management of isolated sphenoiditis in children. Lin chuang er bi yan hou tou jing wai ke za zhi= Journal of clinical otorhinolaryngology head and neck surgery 25(14) 627
3. Hnatuk L. A. Macdonald R. E. & Papsin B. C. (1994). Isolated sphenoid sinusitis: the Toronto Hospital for Sick Children experience and review of the literature. The Journal of otolaryngology 23(1) 36
4. Saitoh A. Beall B. & Nizet V. (2003). Fulminant bacterial meningitis complicating sphenoid sinusitis. Pediatric emergency care 19(6) 415-417.
5. Radulescu L Poiata I Curca I. A. & Martu D. (2005). Thrombophlebitis of left cavernous sinus secondary to acute right sphenoid sinusitis. Revista Medico-chirurgicala a Societatii deMedici si Naturalisti din Iasi 109(3):573-576.
6. Herrmann B. W. White F. V. & Forsen J. W. (2006). Visual loss in a child due to allergic fungal sinusitis of the sphenoid. Otolaryngology-Head and Neck Surgery 135(2) 328-329.
7. Nemzek W. Postma G. Poirier V. & Hecht S. (1995). MR features of pachymeningitis presenting with sixth-nerve palsy secondary to sphenoid sinusitis. American journal ofneuroradiology 16(4) 960-963.
8. Ada M. Kaytaz A. Tuskan K. Güvenç M. G. & Selçuk H. (2004). Isolated sphenoid sinusitis presenting with unilateral VIth nerve palsy. International journal of pediatricotorhinolaryngology 68(4) 507-510.
9. Turgut S. Özcan K. M. Çelikkanat S. & Özdem C. (1997). Isolated sphenoid sinusitis. Rhinology 35 132-135
10. Wyllie J. W. Kern E. B. & Djalilian M. (1973). Isolated sphenoid sinus lesions. TheLaryngoscope 83(8) 1252-1265.
11. Deans J. A. & Welch A. R. (1991). Acute isolated sphenoid sinusitis: a disease with complications. The Journal of Laryngology & Otology 105(12) 1072-1074