Frontal mucocele presenting with forehead subcutaneous mass: an unusual presentation (original) (raw)
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Giant frontal mucocele presenting with displacement of the eye globe
Radiology case reports, 2018
In this case, a 70-year-old female patient presented with large forehead swelling that occurred 2 years prior, with slow progressive enlargement that mimicked the behavior of a neoplasm. There was severe inferior displacement of the right orbital globe to the level of the nares. Brain computed tomography showed a large expansive lesion in the right frontal sinus with bony wall thinning without destruction or erosion. Brain magnetic resonance imaging showed high signal intensity of the contents in T1- and T2-weighted images with only peripheral enhancement after contrast administration. These features were consistent with a typical right frontal mucocele.
Frontal Mucocele: A Case Report
2013
Background: Mucocele is a rare slow-growing benign intracranial pathology arising from the paranasal sinuses.Case Report: A 45-year-old Saudi male, presented with a history of nasal obstruction, headache and loss of smell for one year. Nasal examination revealed bilateral nasal polyps filling both nasal cavities. The radiological diagnostic procedures revealed a homogenous mass in both frontal and ethmoid sinuses that destroyed the posterior and inferior walls of the left frontal sinus and extended into the anterior cranial fossa. The mass was isointensive to the brain on the T1-weighted images. A bi- coronal supra-orbital incision was done which revealed a green-gray encapsulated soft tissue filling completely the left frontal sinus and the ethmoid sinuses. The posterior and inferior wall of the frontal sinus was destroyed and the mass involved the anterior fossa. Resection of the pathological mass was achieved. Frontal mucosa was completely removed. The sinus was irrigated with sa...
Frontal Sinus Mucopyocele Presenting as a Subcutaneous Forehead Mass
Journal of Oral and Maxillofacial Surgery, 2015
Mucoceles of the paranasal sinuses are benign, chronic, expanding lesions that characteristically develop because of obstruction of the sinus ostium. The frontal sinus is the most common sinus to be affected by a mucocele, which usually results from trauma or inflammatory processes. Patients with these lesions frequently present with visual complaints of decreased visual acuity, visual field abnormalities, proptosis, ptosis, displacement of the globe, or restricted ocular movements secondary to erosion through the thin bone of the superior orbit and compression on the globe. Often, intracranial extension of frontal sinus mucoceles is also present from erosion through the posterior table of the frontal sinus. Very rarely, they will present as a subcutaneous forehead mass or swelling. To the best of our knowledge, only 5 cases of a frontal sinus mucocele presenting as a forehead subcutaneous mass has been previously reported. We report the case of an 80-year-old woman with a history of remote forehead trauma who presented with a frontal sinus mucopyocele manifesting as a subcutaneous forehead mass eroding through the skin.
Giant Frontal Paranasal Mucocele: Case Report and Review of the Literature
Journal of the Belgian Society of Radiology
Teaching point: Giant mucocele is a rare expansile lesion that may mimic other locally aggressive lesions of the cranial vault. Giant frontal mucoceles with massive osteolytic destruction mimicking an aggressive lesion are rare compared to smaller mucoceles. This article reports a giant mucocele of the frontal sinus and reviews the literature. Important imaging clues pointing toward the diagnosis of a mucocele on computed tomography (CT) and magnetic resonance imaging (MRI) are a well-defined expansile mass, an intimate relationship with the frontal sinus, subtle peripheral rim enhancement, and slow progression on serial imaging. The density on CT and signal on MRI may vary along with the lesion content. The potential role of diffusion-weighted imaging should be elaborated in future reports.
BMC ear, nose, and throat disorders, 2006
Mucoceles are slowly expanding cystic lesions with respiratory epithelium containing mucus most commonly affecting the frontal and ethmoidal sinuses. They are caused by obstruction of sinus ostium. Mucoceles exert pressure on the bony boundaries and due to the proximity to the brain and orbit extension to these areas are common. A case of a frontal mucocele with an accompanying orbital abscess mimicking a fronto-orbital mucocele is reported. A 77 year old female patient suffering from left sided proptosis and pain around the left eye was admitted to our department. She had a history of left frontal sinus mucocele one year ago that was offered an osteoplastic frontal sinus surgery that the patient refused. Patient had limitation of eye movements. Fundoscopic examination revealed a minimal papilledema. Coronal computerized tomography and orbital magnetic resonance imaging showed a frontal mucocele with suspicious erosion of the orbital roof and a superiorly localized extraconal mass d...
Giant frontoethmoid mucocele with intracranial extension: case report
Ear, nose, & throat journal, 2003
We report the case of a 31-year-old woman who came to us with a giant frontoethmoid mass that had extended into the intracranial region and invaded the left orbit. We removed the lesion in its entirety via a combined intranasal and transcranial approach. We discuss the advantages and disadvantages of different surgical approaches, and we explain why we recommend a combined approach for the type of giant lesion that we encountered.
International Journal of Otorhinolaryngology and Head and Neck Surgery
Mucoceles of the paranasal sinuses are expansile, benign mucus filled epithelial lined cystic-like lesion resulting from chronic obstruction to sinus ostia. They erode bony walls by pressure and bony resorption with the frontal and ethmoid sinuses predominately affected. The expansile lesion can involve surrounding structures like the orbit, intracranium or nasopharynx. Diagnosis is based on history, examination and radiological assessment with Computerized tomography scan being the imaging of choice. Surgery is the mainstay of treatment and would require collaboration with the neurosurgeons or the ophthalmologist when it extends to the brain or orbit respectively. It can be done via an external approach, endoscopic approach or a combination of both. If left without intervention, it may cause morbidity and potential mortality due to its proximity to the brain and orbit. We report a rare case in our setting of a 65-year-old male farmer with a painless huge left sided cystic front...
Rare giant maxillay mucocele: A rare case report and literature review
Annals of Medicine and Surgery, 2019
Mucocele is a slow growing, benign but locally aggressive cystic structure lined by true epithelium. It often results due to obstructed sinus outflow or obstruction of gland-like mucous retention cyst. It can cause bony destruction and might result in orbital symptoms like diplopia, orbital displacement, visual disturbances. Other clinical features are facial numbness, dental problems, etc. Radiological evaluation is the preferred diagnostic modality. Surgical removal is the treatment of choice both endoscopic and open (could well luc) approach or combined approach are preferred. Here we report a very typical case of maxillary mucocele who presented with subtle symptoms of nasal obstruction. The study was done in compliance with SCARE guidelines. [1] Case presentation: We present a very unique case of 24 years man with complaints of nasal obstruction and swelling over the right cheek for 2 years. He had a history of facial trauma two years back. Diagnosis was made on the basis of radiological examination CT (Computed Tomography) scan. He underwent enucleation via Cold well Luc's approach with good postoperative results. Conclusion: Maxillary mucoceles are slow growing benign lesions. However, they are locally aggressive and cause bony destruction resulting into orbital and dental symptoms. Thus early recognistion with regular folllowr up and planning for surgical intervention can help avoid complications.
A Case of Acute Fronto-Ethmoido-Orbital Mucocele
Clinical Rhinology An International Journal, 2014
Mucoceles are thought to arise as a consequence of obstruction and inflammation. Frontoethmoidal mucocele can present with multiple symptoms that also include ophthalmic symptoms. Though benign, they have the tendency to expand by thinning the bony walls, displace and invade the surrounding structures by pressure and bony erosions. When it involves the orbit and expands, it may mimic benign growths primarily arising from orbit. We report an acute presentation of fronto-ethmoido-orbital mucocele as a result of hemorrhage into the mucocele. How to cite this article Sasindran V, Joseph A, Moosankutty S, Gautam A. A Case of Acute Fronto-Ethmoido-Orbital Mucocele. Clin Rhinol An Int J 2014;7(3):121-124.