Mucocele of the middle turbinate: A case report

Tolédano, A.; Herráiz, Carlos; Maté, A. González; Plaza, Guillermo; Aparicio, Juan Manuel Goiri; Santos, Gonzalo de los; Galindo, A.N.

doi:10.1067/mhn.2002.123346

Cited by 22 publications

(32 citation statements)

References 4 publications

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“…mucocele or mucopyocele in the English-language literature, [6][7][8][9] and only 2 of the cases were in children. 6,9 The concha bullosa presented here replaced the anterior ethmoid sinus and was contiguous with the frontal sinus (Figs 1C and 2B).…”

mentioning

confidence: 92%

Large Concha Bullosa Mucopyocele Replacing the Anterior Ethmoid Sinuses and Contiguous with the Frontal Sinus

Cohen¹,

Matthews²

2008

Ann Otol Rhinol Laryngol

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Concha bullosa, a pneumatized middle turbinate, is a common anatomic variant found in the paranasal sinuses. When a concha bullosa becomes obstructed, it can form a mucocele and, eventually, a mucopyocele if it becomes secondarily infected. This is a rare phenomenon; only 9 concha bullosa mucopyoceles have been previously reported in the English-language literature. We present the case of a large concha bullosa mucopyocele in a pediatric patient in which the concha bullosa replaced the anterior ethmoid sinuses and was contiguous with the frontal sinus.

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mentioning

confidence: 92%

Large Concha Bullosa Mucopyocele Replacing the Anterior Ethmoid Sinuses and Contiguous with the Frontal Sinus

Cohen¹,

Matthews²

2008

Ann Otol Rhinol Laryngol

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“…Such cytokines may be responsible for the destruction associated with mucoceles, with consequent reabsorption, rarefaction and local bone expansion, facilitating their widening 3 . This event may be the cause of the bone reabsorption and bone formation areas 8 , observed on the bone walls that surround the mucocele, in which osteoblastic activity is followed by osteogenesis and sclerosis is alternated with areas of active bone destruction 6 . Mucocele, thus, would grow by expanding outwards instead of expanding under the effect of the internal pressure, preserving the sinus mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…The first description of middle concha mucopyoceles was made by Badia et al 1 in 1994 in a male patient aged 82 years that had been submitted to nasal polyp resection 20 years before, but for 1 year he had started to have nasal obstruction symptoms followed by mucopurulent rhinorrhea on the left with no improvement with clinical treatment (nasal corticoids). Toledano et al 8 described a case of middle concha mucopyoceles in a 14-year-old patient that had suffered a nasal trauma as a child and also presented nasal obstruction on the right, followed by mucoid rhinorrhea. Armengot et al 9 have also described a case of mucopyoceles in a 65-year-old lady whose main symptom was diplopia with oxophtalmia on the left and medial canthus protuberance on the same eye, but without any nasal symptom.…”

Section: Literature Reviewmentioning

confidence: 99%

Mucopiocele de concha média: relato de caso

Pinto

Cintra

Marqui³

et al. 2005

Rev. Bras. Otorrinolaringol.

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“…The majority of mucoceles are situated in the ethmoid and/or frontal sinuses [1,2]. If a mucocele becomes infected, it is referred to as a pyocele [3].…”

Section: Introductionmentioning

confidence: 99%

“…If a mucocele becomes infected, it is referred to as a pyocele [3]. Although concha bullosa (CB) is the most common variants of the middle turbinate, mucocele or pyocele of CB has been rarely reported [2-5]. Furthermore, CB mucocele with orbital extension is much less and CB mucocele with orbital invasion and secondary frontal sinusitis has not been reported in the literature, to the best of our knowledge.…”

Section: Introductionmentioning

confidence: 99%

Concha bullosa mucocele with orbital invasion and secondary frontal sinusitis: a case report

et al. 2013

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BackgroundAlthough concha bullosa (CB) is the most common variants of the middle turbinate, mucocele of CB is uncommon. Furthermore, CB mucocele with orbital invasion and secondary frontal sinusitis has not been reported previously.Case presentationA 42-year-old Korean male presented with gradually progressive proptosis of right eye and right-sided frontal headache. He had previously undergone endoscopic sinus surgery (ESS) 15 and 9 years ago. The endoscopic examination showed an expansive, large middle turbinate with normal mucosa filled the majority of right nasal cavity and displaced the septum to the left. A computed tomography and magnetic resonance imaging showed a well demarcated cystic huge mass at right nasal cavity extending to ethmoid sinus and orbit. The mass caused a bony defect on the lamina papyracea and displaced medial rectus muscle and orbit laterally. Moreover, the right frontal and ethmoid sinus was totally opacified. This article reports orbital invasion and frontal sinusitis complicating a CB mucocele, which was successfully treated by endoscopic resection of the lateral wall of CB and frontal sinusotomy.ConclusionsThis case illustrates that CB mucocele could develop to such a massive extent that it leads to orbital complication and secondary frontal sinusitis. Therefore, we consider this entity in the differential diagnosis of orbital complications and secondary sinusitis caused by intranasal mass.

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Mucocele of the middle turbinate: A case report

Cited by 22 publications

References 4 publications

Large Concha Bullosa Mucopyocele Replacing the Anterior Ethmoid Sinuses and Contiguous with the Frontal Sinus

Large Concha Bullosa Mucopyocele Replacing the Anterior Ethmoid Sinuses and Contiguous with the Frontal Sinus

Mucopiocele de concha média: relato de caso

Concha bullosa mucocele with orbital invasion and secondary frontal sinusitis: a case report

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