Endoscopic Management Of A Giant Ethmoid Mucocele (original) (raw)
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The Endoscopic Management of Ethmoid Mucocele with Orbital Extension
2017
Paranasal sinus mucocele represents a quite common pathologic entity, with many questions concerning the ethiology. Generally, the onset of obvious symptoms is delayed until complications appear, notably eye-related. We’ll report the case of ethmoido-orbital mucocele, successfully managed by endoscopic marsupialization, in order to accomplish the main goal: restoring ventilation and wide sinus drainage.
An ethmoid mucocele causing diplopia: A case report
Medicine, 2017
Mucocele is a disease lined primarily by epithelium, and occurs mainly when the sinus ostium is obstructed. We report a case of a 37-year-old man who presented with painless proptosis of the right eye and diplopia. The preoperative finding was mucocele of the ethmoid sinus. We performed endoscopic sinus surgery, which included uncapping of the anterior and superior wall of the mucocele. The mucocele was treated safely and effectively without touching the medial orbital wall. Clinicians should note that minimally invasive surgery to remove ethmoid mucoceles is relatively straightforward and can prevent the various complications associated with these lesions.
Ethmoid mucocele as a late complication of endoscopic ethmoidectomy
Otolaryngology - Head and Neck Surgery, 2003
OBJECTIVE: Our goal was to describe ethmoid mucocele as a late complication of endoscopic ethmoidectomy. STUDY DESIGN: This was a retrospective review of 14 patients who were diagnosed with ethmoid mucoceles after endoscopic ethmoidectomy. Reviewed data included patient demographics, indication for the original surgery, presenting symptoms, computed tomography results, surgical treatment, operative findings, and recurrence of disease. RESULTS: The mucoceles were diagnosed 1 to 13 years after endoscopic ethmoidectomy. The most common presenting symptom was facial pressure or pain. Twelve patients had middle meatal adhesions. A round mass was seen by endoscopy in the ethmoid cavity in 5 patients. Nine mucoceles were located in the anterior ethmoid and 3 were located in the posterior ethmoid, and 2 involved both. The mucoceles were marsupialized via revision endoscopic ethmoidectomy in 12 patients, whereas 2 had both external and endoscopic approaches taken. CONCLUSION: Ethmoid mucocele can form as a late complication of endoscopic ethmoidectomy. It is commonly associated with middle meatal adhesions.
A Primary Ethmoid Mucocele in a 9-Year-Old Child: A Case Report and Literature Review
Clinical Case Reports, 2020
A mucocele is a mucous-filled cavity in the paranasal sinuses due to obstruction or compression of neighboring structures by inflammatory processes, trauma, or prior surgery. It can be indolent, locally expanding, and destructive. Mucoceles are extremely rare in children. We report a nine-year-old boy with sudden-onset left orbital pain and proptosis. Computed tomography showed a well-defined soft tissue lesion originating in the left ethmoid sinuses, suggestive of a mucocele. The mass was marsupialized by endoscopic sinus surgery. Mucoceles should be a part of the differential diagnosis of a child presenting with proptosis. Imaging studies are helpful in establishing the diagnosis.
Mucocele of the ethmoid sinus*
International journal of pediatric otorhinolaryngology, 1985
A 15-year-old female was evaluated for pain in the region of the right medial canthus and increasing exophthalmos. She had been diagnosed as having pseudotumor of the right orbit when she was 8 years old. The diagnosis was sustained until a second ophtalmologist requested a CT scan which demonstrated a mucocele of the right ethmoid sinus. Intranasal endoscopy revealed medial bulging of the right middle turbinate and meatus. Following a right external ethmoidectomy the eye returned to its normal position and pain disappeared. She has been asymptomatic for the past 4 years.
Endoscopic approach for a delayed post-traumatic ethmoidal mucocele: a technical note
British journal of neurosurgery, 2017
Delayed post-traumatic mucoceles are rare. We describe the surgical treatment of a post-traumatic ethmoidal mucocele with intra-orbital extension. A uninostril endoscopic endonasal approach (EEA) was performed. The access was contralateral to the lesion to provide a wider lateral view. After a large sphenoid and ethmoid sinuses opening, the collection was drained and the optic nerve precociously identified. The orbital roof was eroded and the frontal dura mater directly visible. The uninostril contralateral approach allows a good exposure of the lateral fields and is conservative towards the nasal mucosa. A favorable skull base anatomy is the prerequisite for its efficacy.
Fronto-ethmoidal mucoceles: a study of 25 cases
International Journal of Otorhinolaryngology and Head and Neck Surgery
mucoceles are the frontal and fronto-ethmoidal sinuses, although they can also be found in the maxillary and sphenoid sinuses. They cause slow, progressive expansion and dilatation of the sinuses, producing symptoms, such as headache, nasal obstruction, facial pain, decreased visual acuity, diplopia, displacement of the eyeball and facial edema. The diagnosis is based on the history, physical examination and radiological findings. Computed Tomography (CT) is the preferred imaging modality for mucoceles. Endoscopic endonasal ABSTRACT Background: Paranasal sinus mucoceles are quite rare and a comprehensive study regarding their incidence, presentations, management and complications is significantly lacking in our geographical area which led to our prospective study. Fronto-ethmoidal mucoceles are the most common expansile lesions of the paranasal sinuses. Methods: This is a prospective study of 25 cases of patients presenting with fronto-ethmoidal mucoceles in a tertiary care hospital in Ahmedabad. All patients were managed surgically through endoscopic approach. Results: The study comprised of 25 cases of fronto-ethmoidal mucoceles. The average age of the patients was 47.72 years with a range of 21-75 years. 16 patients (64%) were females. The most common involvement was of frontal sinus (16 cases, 64%). The most common presenting symptom was displacement of eyeball (68% cases). The most common presenting sign was proptosis, present in 68% cases. Endoscopic sinus surgery was the most commonly used modality of treatment of frontal mucocele and fronto-ethmoidal mucoceles (23 cases). In 2 cases combined approach surgery (endoscopic and external) was done. Conclusions: Mucoceles most commonly occur between 4 th to 7 th decades of life. In most cases no predisposing factor is identified. The diagnosis is based on the history, physical examination and radiological findings. CT is the preferred imaging modality for mucoceles. Endoscopic endonasal surgery is currently the most commonly used surgical approach.
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...
Endoscopic management of frontal mucocele causing orbital displacement
Jordan Medical Journal
A mucocele of paranasal sinuses is a chronic cystic lesion that can either develop from obstruction of the sinus ostium by various pathologies, or from obstruction of the duct of a minor salivary gland located within the lining of the paranasal sinus. Endoscopic Sinus Surgery (ESS) is a minimally invasive technique that has limited implication in dealing with orbital complication. We are presenting a case of frontal mucocele, with secondary orbital displacement, which successfully treated with ESS.
Annals of Maxillofacial Surgery, 2021
IntRoductIon Background Mucocoele is a benign pseudocystic fluid-filled mass that may arise in any of the paranasal sinuses. They are expansile in nature causing displacement of adjacent structures and bone erosion. The most commonly involved site is the frontal sinus (70%-80%) followed by the frontoethmoidal region (10%-14%) and maxillary sinus (2.7%-10%). Sphenoid sinus mucocoele is very rare (1%-2%), but it may present with various complications due to its vicinity to vital structures such as dura, optic nerve, pituitary gland, internal carotid artery, cavernous sinus, and cranial nerves (III, IV, V, and VI). The exact pathophysiology responsible for the formation of frontoethmoidal mucocoele is not known; however, it is said to occur when there is an obstruction in the sinus ostium that could be due to mucosal inflammation, trauma, or tumour. If not treated early, it can extend into adjacent sinuses, the orbit, nasal cavity, nasopharynx, and cranial cavity. Secondary infection may accelerate the rate of expansion. [1-3] Various surgical approaches have been suggested for its management. Surgical approach is usually external as proposed by Bockhmul et al. and Weber et al. which includes the Lynch-Howarth incision and osteoplastic frontal sinusotomy. However, these procedures may be associated with significant morbidity and serious complications such as cerebrospinal fluid (CSF) leak, meningitis, and orbital cellulitis. [4,5] Marsupialization of mucocoele with transnasal endoscopy is a minimally invasive alternative to conventional surgery with reduced morbidity and a negligible recurrence rate. [6] Uniqueness of the case In this report, we present a case of frontoethmoidal mucocoele with an unusual presentation of lateral displacement of the