Fronto-ethmoidal mucoceles: a study of 25 cases

Abstract

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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. </p><p class="abstract"><strong>Results:</strong> 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.</p><p><strong>Conclusions:</strong> Mucoceles most commonly occur between 4<sup>th</sup> to 7<sup>th</sup> 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. </p>

Minimally invasive endoscopic approach towards management of frontoethmoidal mucocoele with lateral displacement of eyeball and proptosis - A case report

“…Secondary infection may accelerate the rate of expansion. [ 1 2 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.…”