Bilateral Pansinus Mucocele with Bilateral Orbital and Intracranial Extension

Jacobson, Alan L.; Lawson, William; Biller, Hugh F.

doi:10.1177/019459988209000428

Cited by 7 publications

(9 citation statements)

References 9 publications

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“…In our study, the range of age group varied from 21years to 75 years and the mean age was calculated to be 43.68 years. This is not very much different compared to previous publications [1][2][3].…”

Section: Discussioncontrasting

confidence: 84%

“…Regarding sex ratio, literatures states an almost equal sex ratio [2,3]. However in our study, we encountered a sex ratio of male : female of 1:1.28.…”

Section: Types Of Mucocelementioning

confidence: 47%

“…It is the most common benign expansile lesion of the paranasal sinuses. The clinical symptoms of mucoceles are usually caused by expansion of surrounding structures or infection [1,2,3,4,5,6]. The diagnosis is based on the history, physical examination and radiological fi ndings.…”

Section: Introductionmentioning

confidence: 99%

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Paranasal sinus mucoceles: a comprehensive retroprospective study in Indian perspective

Jaswal

Jana

Sikder

et al. 2008

Indian J Otolaryngol Head Neck S

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Section: Discussioncontrasting

confidence: 84%

“…Regarding sex ratio, literatures states an almost equal sex ratio [2,3]. However in our study, we encountered a sex ratio of male : female of 1:1.28.…”

Section: Types Of Mucocelementioning

confidence: 47%

See 1 more Smart Citation

Paranasal sinus mucoceles: a comprehensive retroprospective study in Indian perspective

Jaswal

Jana

Sikder

et al. 2008

Indian J Otolaryngol Head Neck S

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“…3,4 They are generally seen between fourth and seventh decades and most frequently during the third and fourth decades of life. In our study, the range of age group varied from 21 to 75 years and the mean age was 43.68 years.…”

Section: Discussionmentioning

confidence: 99%

Fronto-ethmoidal mucoceles: a study of 25 cases

Prajapati¹,

Khilnani

Gami³

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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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 4th to 7th 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.

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“…About 90% of mucoceles involve the frontal or the ethmoid sinuses and 10% involve the maxillary sinus. Signs and symptoms include facial deformity, proptosis or enophthalmos, loss of vision or diplopia, facial pain, headache or nasal obstruction [2].…”

Section: Differential Diagnosismentioning

confidence: 99%

Clinico-Pathologic Conference: Case 3

DeVilliers

Talacko²,

Aldred³

et al. 2010

Head and Neck Pathol

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A 17-year old male was referred to the otolaryngology clinic with a history of nasal obstruction for 3 years. Physical examination uncovered mild asymmetry and proptosis of the left eye; palpation revealed softness of the posterior left hard palate and anterior maxilla, with no erosion. Nasal endoscopy, using a 4 mm, 30-degree sinus telescope, revealed complete obstruction of both nostrils.Computed tomography (CT) without contrast revealed a nearly 6 cm sharply marginated unilocular expansile radiolucent lesion appearing to arise from the left maxillary alveolar ridge. The lesion eroded the apices of teeth and extended from tooth #13 through unerupted tooth #16. It expanded into the left maxillary sinus and left nasal cavity and elevated the left orbital floor, with a thinned but intact eggshell-like margin. No definite calcifications were evident within the lesion on CT (Fig. 1a, b, c, d). Differential DiagnosisThe radiological features were interpreted to be consistent with a slowly growing lesion rather than an aggressive process. The pathology was thought to arise from either a traumatic, infectious, nonneoplastic or neoplastic process. Within the neoplastic category, benign, locally aggressive or low-grade malignant lesions were considered.The epicenter of the lesion was thought to originate, in order of decreasing likelihood, from the maxillary sinus, the maxilla or the nose or, least likely, to represent a metastasis or to be of intracranial origin. When evaluating an origin from the maxillary sinus or nasal cavity several conditions were included in the differential diagnosis.

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Bilateral Pansinus Mucocele with Bilateral Orbital and Intracranial Extension

Abstract: Bilateral mucocele formation in the frontal, ethmoid, sphenoid, and maxillary sinuses with intraorbital and intracranial extension is described. The pathophysiology, diagnosis, and treatment of paranasal sinus mucoceles are reviewed.

Cited by 7 publications

References 9 publications

Paranasal sinus mucoceles: a comprehensive retroprospective study in Indian perspective

Paranasal sinus mucoceles: a comprehensive retroprospective study in Indian perspective

Fronto-ethmoidal mucoceles: a study of 25 cases

Clinico-Pathologic Conference: Case 3

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