The endonasal endoscopic management of pediatric lateral frontal mucocele (original) (raw)
Related papers
Endoscopic treatment of paranasal sinus mucoceles in children
International Journal of Pediatric Otorhinolaryngology, 2004
In this study, we have pointed out the effectiveness of the endoscopic approach for the treatment of three children affected by mucoceles. Two patients complained of visual disturbances while one complained of persistent bitemporal headache. None of these cases was affected by cystic fibrosis. The endoscopic treatment consisted mainly of drainage and marsupialization of the mucocele. These young patients were free of any recurrence and symptoms at 36, 30, and 16 months of follow-up, respectively.
Srpski arhiv za celokupno lekarstvo
Introduction/Objective. A mucocele is a benign cystic but extremely expansive change in paranasal cavities, first described in literature by Langenbeck in 1820. The etiology of mucoceles is still a subject of debate. It is assumed that the obstruction of the frontal sinus duct and drainage impairment into the middle nasal meatus, as a consequence of a chronic infection, trauma, or tumor, represent one of the main causes of their occurrence. The aim of this study was to describe ophthalmological and clinical properties of frontal sinus mucoceles. Methods. Our retrospective study covered a period of 10 years during which seven patients with mucocele in the frontal sinus were operated on. Results. Predisposing factors for the appearance of frontal sinus mucoceles were observed in six out of seven patients ? the existence of a previous surgical intervention in two patients, the existence of a previous injury in four, and one patient did not exhibit the existence of predisposing factors....
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.
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.
Paranasal sinus mucocele is a cystic formation filled with mucus, resulting from the obstruction of sinus ostium. The most common place of mucocele localization is frontal sinus, which is due to its specific anatomical architecture and a narrow passage of the frontal recess. Approximately in 70% mucocele localizes in a frontal sinus. In this article we present the case report on 37 years old woman who applied to clinic of aesthetic medicine to get consultation about blepharoplasty possibilities. Patient complained on a mild bilateral upper eyelid ptosis, more significant on the left side. She also complained on recurrent nasal blockage, excessive nasal discharge, facial pain and pressure on her left side supraorbitally. Computered tomography (CT) for paranasal sinuses has been ordinated and lateral mucocele in a the left frontal sinus was diagnosed, as well as, inflammatory process in the left maxillary and ethmoidal sinuses. Investigation and treatment options for this patient are discussed in this article.
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...
Mucocele of the Paranasal Sinuses: Retrospective Analysis of a Series of Eight Cases
Cureus, 2023
Background: Paranasal sinus mucoceles are epithelium-lined cystic masses usually resulting from obstruction of sinus ostia. They most frequently occur in the frontal and ethmoid sinuses. The etiology is not clarified, but the most common identifiable cause of mucoceles following functional endoscopic sinus surgery (FESS), trauma, neoplasms, and allergy. The clinical symptoms of mucocele vary and are not specific, the most common being ophthalmic symptoms and headache, impinging on adjacent orbital structures, and causing ophthalmic sequelae such as double vision, commonly followed by orbital swelling, epiphora, proptosis, and ptosis. All patients in this study had frontal and frontoethmoidal mucocele and initially complained of frontal headache and ophthalmic symptoms. Definitive treatment options for paranasal sinus mucoceles include external approaches and endoscopic marsupialization. Objective: The study aimed to identify the etiology, clinical presentation, most common para nasal sinus affected by mucocele, management, and the rate of recurrence in eight cases with mucocele of the paranasal sinuses. Methods: Eight patients diagnosed with mucocele of the paranasal sinuses were admitted to our institution between 2014 and 2021. There were two females and six males aged between 14 and 67. Initial symptoms, duration, clinical presentation upon admission, location of the mucocele, type of surgical intervention, and outcome have all been studied. Results: The most common symptoms at diagnosis were orbital involvement, retrobulbar, and frontal headache. Most patients were diagnosed with frontal mucocele (40%), and three were frontoethmoidal mucocele at the time of presentation. The rest of the cases were diagnosed with ethmoidal mucocele (25%). The etiology was identified in four patients and was unclear in the rest. All patients underwent endoscopic sinus surgery. The most identifiable postoperative complication was a headache. The endonasal endoscopic approach is a safe and effective treatment for paranasal sinus mucocele and provides adequate drainage with a low recurrent rate.