Intraorbital Isolated Mucocele

Baysal, Elif; Mumbuç, Semih; Kanlı́kama, Muzaffer; Kiliç, Ali; Çevik, Cengiz

doi:10.1097/scs.0b013e318208542e

Cited by 5 publications

(9 citation statements)

References 9 publications

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“…Isolated orbital mucocele has been reported by Baysal et al 5 . A 55-year-old man was diagnosed with left isolated orbital mucocele without a history of trauma or obstruction of paranasal sinus.…”

Section: Discussionmentioning

confidence: 86%

“…The contributing factor for orbital mucocele can be chronic sinusitis, nasal polyp, orbital wall fracture, post open or endoscopic surgery, and congenital effects. It has been postulated that isolated orbital mucocele can occur due to islands of sinus tissue within the orbit that developed from embryological tissue or after trauma 5 . Thus, the island of sinus tissues will proliferate into the cystic lesion within the orbital cavity.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Intra-Orbital Mass: An Isolated Mucocele

Mat¹,

F²,

Noor³

et al. 2020

MMJ

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Mucocele is a mucous filled benign cystic lesion. It develops due to obstruction of any natural os-tium of the paranasal sinus. Even though being benign, it has capability to erode and cause thinning the adjacent bony structures. Isolated intraorbital mucocele without paranasal sinus disease is a rare condition. We present a 39-year-old female patient with right medial canthal swelling without any nasal symptoms, and normal nasoendoscopic finding. Imaging revealed the lesion as a right ethmoidal mucocele with normal paranasal sinuses. However intraoperatively, it was an isolated intraorbital lesion, lateral to lamina papyracea with thick-yellowish mucin discharge.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

A Rare Intra-Orbital Mass: An Isolated Mucocele

Mat¹,

F²,

Noor³

et al. 2020

MMJ

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“…Recently, endoscopic sinus surgery has been favored over the direct orbital approach for its safety and efficacy in treating mucoceles with a lower morbidity, reduced hospital stay, and reduced mucocele recurrent rate 9,10 . Bysal et al 4 reported that an isolated orbital mucocele in medial orbit was successfully managed by endoscopic intranasal marsupialization. In the case of the isolated intraorbital mucocele in inferior orbit, similar with our case, Jung, et al 5 treated it by enucleation of the mucocele using transantral approach, however, we treated it successfully by endoscopic intranasal marsupialization without any complications including those of external approaches.…”

Section: Discussionmentioning

confidence: 99%

“…Mucocele is typically seen as a cystic mass with non-contrast enhanced soft tissue density and clear margin in computed tomography (CT) 1,3 . In T1-weighted imaging series of magnetic resonance (MR) image, the lesion has intermediate or low signal intensity without gadolinium enhancement and high signal intensity in T2-weighted series 3,4 . Although the treatment choice of isolated intraorbital mucocele has not been established because of the rarity of the disease, some authors suggest that the optimum treatment is the complete removal of the mucocele to exclude the possibility of recurrence from remnant mucosa 1,2,5,6 .…”

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confidence: 99%

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Endoscopic Intranasal Marsupialization of the Isolated Mucocele in the Inferior Orbit

Lee

Park

Jang

et al. 2021

Journal of Craniofacial Surgery

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Complications of tonsillitis can be divided into non-suppurative and suppurative. Suppurative complications are parapharyngeal abscess retropharingeal abscess, mainly peritonsillar abscess. 1 None of these complications, which may require surgical intervention in the treatment, are found in our patient's history. The patient only described severe tonsil infections, all of which were treated with antibiotics. Anterior plica perforation associated with tonsillitis has been reported in the literature. 2 However, the posterior plica perforation associated with tonsillitis could not be detected in our scan. The reported data showed a posterior plica perforation as a surgical complication after tonsillectomy and anterior plica perforation during orotracheal intubation. 3,4 In the present case, the entire tonsil was not removed to prevent the expansion of the perforation. In addition, the remaining tonsil tissue was sutured to the upper pole to provide the closure of the perforation. In the control examination of the patient, although the perforation was not covered as we wanted, nasal leakage was very rare.It has been reported in studies that partial tonsil resection can prevent recurrent tonsillitis attacks. 5 In our case, there was no attack of tonsillitis in the ten months after the operation. CONCLUSIONPosterior plica perforation is a rare complication that can be developed after tonsillectomy. It probably occurs as a result of traumatic damage and/or excessive cauterization of the posterior plica. But posterior plica perforation due to recurrent tonsillitis was not reported before. Adhesions due to recurrent infections may be the cause of perforation. If perforation identified during surgery surgical strategy will be rearranged to avoid postoperative complications.

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Isolated orbital mucoceles in the absence of obstructive sinus disease

Prendes

Perszyk

Horkey

et al. 2017

Orbit

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Orbital surgeons are quite familiar with the diagnosis and management of paranasal sinus mucoceles due their frequent involvement of the orbit. These benign masses form and expand following sinus outflow obstruction secondary to various causes including trauma, inflammation and malignancy, amongst others. The authors present two cases of isolated orbital mucoceles without associated sinus outflow obstruction. There were notably no connections between the paranasal sinuses and the lesions. The mucoceles were diagnosed following orbitotomies and excisional biopsies with confirmatory histopathology. These rare orbital lesions should be considered when evaluating cystic orbital lesions, and the orbital surgeon should be familiar with the proposed pathophysiology and treatment recommendations.

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Intraorbital Isolated Mucocele

Cited by 5 publications

References 9 publications

A Rare Intra-Orbital Mass: An Isolated Mucocele

A Rare Intra-Orbital Mass: An Isolated Mucocele

Endoscopic Intranasal Marsupialization of the Isolated Mucocele in the Inferior Orbit

Isolated orbital mucoceles in the absence of obstructive sinus disease

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