Frontoethmoid Mucocele causing Unilateral Proptosis
Article Sidebar
Main Article Content
Abstract
Introduction
Mucoceles occur most frequently in the frontal and ethmoidal sinuses, without gender prevalence. Presenting symptoms can include facial pain, headache, nasal obstruction, diplopia, decreased visual acuity, orbital globe displacement, facial swelling and meningitis, depending on the anatomic area involved. The gold standard in terms of diagnostic precision is computed tomography scan.
Case Report
The present study describes case of frontoethmoidal mucocele with orbital involvement that was treated by transnasal endoscopic approach obtaining good outcomes, demonstrating safety and efficacy of this surgical approach.
Conclusion
Transnasal endoscopic management of mucoceles is preferred due to minimal trauma and less morbidity.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Busaba NY, Salman SD. Ethmoid mucocele as a late complication of endoscopic ethmoidectomy. Otolaryngol Head Neck Surg. 2003; 128:517-22
Lund VJ, Henderson B, Song Y. Involvement of cytokines and vascular adhesion receptors in the pathology of fronto ethmoidal mucoceles. Acta Otolaryngol. 1993; 113: 54-6
Brook I, Frazier EH. The microbiology of mucopyocele. Laryngoscope 2001; 111:1771-3
Kuhn FA, Javer AR. Primary endoscopic management of the frontal sinus. Otolaryngol Clin North Am. 2001; 34:59-75
Har-EI G. Endoscopic management of 108 sinus mucoceles. Laryngoscope 2000; 111:2131-4
Khong JJ, Malhotra R, Selva D, Wormald PJ. Efficacy of endoscopic sinus surgery for paranasal sinus mucocele including modified endoscopic lothrop procedure for frontal sinus mucocele. Journal of Laryngology & Otology 2004; 118:352-6
Avery G, Tang RA, Close LG. Ophthalmic manifestations of mucoceles. Ann Ophthalmol. 1983; 15:734-7
Bilaniuk LT, Zimmerman RA. Computer-assisted tomography: sinus lesions with orbital involvement. Head Neck Surg 1980; 2:293-301
Constantinidis J, Steinhart H, Schwerdtfeger K, Zenk J, Iro H. Therapy of invasive mucoceles of the frontal sinus. Rhinology 2001; 39:33-8
Har-el G. Telescopic extracranial approach to frontal mucoceles with intracranial extension. J Otolaryngol. 1995; 24:98-101
de Oliveira Vicente A , Chaves AG ,Takahashi EN , Akaki2 F et al. Frontoethmoidal mucoceles: A case report and literature review. Rev. Bras. Otorrinolaringol. 2004; 70(6): 851-5
Har-El G, DiMaio T. Histologic and physiologic studies of marsupialized sinus mucoceles: report of two cases. The Journal of Otolaryngology 2000; 29: 195-8
Har-El G, Balwally AN, Lucente FE. Sinus mucoceles: Is marsupialization enough? Otolaryngology - Head and Neck Surgery 1997; 117(6):633-40
Ulualp SO, Carlson TK, Toohill RJ. Osteoplastic flap versus modified endoscopic Lothrop procedure in patients with frontal sinus disease. Am J Rhinology 2000; 14: 21-6.