Implication of frontal sinus mucocele’s location and intrasinus septation

Devaraja, K; Verma, Hitesh; Kumar, Rajeev

doi:10.1136/bcr-2018-226830

Cited by 4 publications

(9 citation statements)

References 16 publications

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“…However, the external approach continues to have a role in selected cases of frontal sinus mucocele. 1 The location of the mucocele and its communication with the natural outflow tract of the frontal sinus are some of the critical factors to be considered when choosing a surgical approach. Since simple nasal endoscopic marsupialization cannot resolve a distal mucocele, the combined treatment of endoscopic marsupialization with an external approach was used in the surgery of case 1.…”

Section: Discussionmentioning

confidence: 99%

“…With the evolution of endoscopic sinus surgery, endoscopic marsupialization has become the standard of care for patients with paranasal sinus mucoceles. However, the external approach continues to have a role in selected cases of frontal sinus mucocele 1. The location of the mucocele and its communication with the natural outflow tract of the frontal sinus are some of the critical factors to be considered when choosing a surgical approach.…”

Section: Discussionmentioning

confidence: 99%

“…This treatment not only ensured frontal sinus drainage but also treated the distal lesions. Devaraja et al1 also emphasized that successful management of mucoceles in far lateral locations and those with laterally situated septations requires an external approach with endoscopic marsupialization.…”

Section: Discussionmentioning

confidence: 99%

“…M ucoceles of the nasal sinus are sinus mucus cysts that are caused by multiple factors, including outflow obstructions of the paranasal sinuses that could result in the gradual accumulation of mucus, sinus inflammation, space-occupying lesions, surgery, and a history of trauma. 1,2 As a mucocele expands, pressure increases in the sinus cavity causing pathologic changes, such as bone erosion, remodeling, and bone destruction. 3 Prostaglandin, parathyroid hormone, and lymphocyte activating factors are produced in mucus, leading to the activation of osteoclasts and bone destruction.…”

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confidence: 99%

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Nasal Sinus Mucoceles Manifesting Ocular Symptoms

Peng

Yue

Zhang

et al. 2022

Journal of Craniofacial Surgery

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Introduction: To describe the ocular symptoms in a series of patients with nasal sinus mucoceles of different locations. Methods: The authors analyzed the diagnosis and treatment of patients with sinus mucoceles and ocular symptoms who presented to the hospital from February 2010 to April 2020. A total of 61 patients were included in the study. The locations of the mucoceles were the frontal sinus (8 patients), ethmoid sinus (25 patients), and sphenoid sinus (28 patients). The authors selected 1 typical mucocele case from each of the sinuses, including the frontal, ethmoid, and sphenoid sinuses, and analyzed the history, diagnosis, and treatment of mucoceles in each location. Results: The main clinical manifestations were ophthalmic symptoms, such as exophthalmos or displacement, eye pain, blindness or decreased vision, blepharoptosis, and diplopia; no obvious nasal symptoms were noted. Most patients with these symptoms went to an ophthalmologist first. All lesions in this study were found through imaging examinations. Most symptoms improved after surgical interventions. Only 2 of the 61 patients had no improvement in vision because of the long period of vision loss. Conclusions: Although sinus mucoceles are located in the sinuses, ocular symptoms are more prevalent than nasal symptoms. The earlier the imaging examinations are performed; the sooner lesions are detected, and the patients can be treated.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Nasal Sinus Mucoceles Manifesting Ocular Symptoms

Peng

Yue

Zhang

et al. 2022

Journal of Craniofacial Surgery

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“…Medial and intermediate mucoceles can be managed with an endoscopic approach but it may not be adequate for lateral mucoceles. [ 10 ] A meta-analysis and systematic review on the management of frontal sinus mucoceles showed that results from endoscopic and open approaches were comparable, although endoscopic approaches were being increasingly preferred. [ 11 12 ] Frontal sinus stenting is considered for recurrent lesions, extensive polyposis, FSOT stenosis by scarring or traumatic fracture, or if neo-ostium is less than 5 mm.…”

Section: Discussionmentioning

confidence: 99%

Frontal sinus stenting

Kajal

Verma

2022

National Journal of Maxillofacial Surgery

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Giant mucocele of frontal sinus following facial trauma is not uncommon. It can lead to the gradual erosion of anterior and posterior bony walls and may extend to the orbital and intracranial structures leading to visual compromise or intracranial complications. A 52-year-old man presented with a history of swelling above the right eye, right eye proptosis, and decreased vision. He had a history of a road traffic accident 30 years ago following which he had lost vision in his left eye and had undergone surgery twice earlier for right frontal mucocele. Computed tomography showed cranialization of the right frontal sinus and a well-defined mass lesion in the region of frontal sinus compressing on the right eye globe. Naso-orbital meningoencephalocele was considered as a differential but magnetic imaging resonance confirmed the lesion as a mucocele. As this was the second recurrence and there was an endangered vision in the only functional eye, he underwent emergency excision of mucocele and recreation of the frontal sinus outflow tract (FSOT) with silastic stenting to maintain its patency. Post-operatively, the patient's vision returned to normal at a 1-week interval. There was a reduction in swelling and proptosis in a 6-month period and the stent was removed after 1 year. Treatment of recurrent frontal sinus mucocele can be challenging. Frontal sinus stenting can be considered in such cases to maintain the patency of FSOT for a prolonged period. Regular follow-up, inspection, and cleaning of the nasal cavity and the stented area are important to prevent any stent-related complications.

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