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International Bulletin of Otorhinolaryngology

Mucopyocele of the frontal sinus

Hr. Zlatanov, A. Korkova

Abstract

ackground: Mucopyocele is a cystic lesion of the paranasal sinuses, which is lined by epithelium, filled with purulent secretion. Its expansive growth leads to resorption of the sinus bone wall and complications . Basic role in the etiopathogenesis plays obstruction in drainage and chronic infection. Basic symptoms are headache and facial pressure. Eye symptoms are also common. Rarely it is asymptomatic.
Methods: We present our experience with treatment of patients with mucopyocele in ENT department MMA – Sofia for a period of 3 years. 24 patients with mucopyocele of the frontal sinuses – 10 women and 14 men were treated surgically. 20 patients were treated with endoscopic technique, and 4 patients with combined approach (endoscopic and trephination of the frontal sinus).
Results: All patients underwent surgical treatment and a 12 month follow-up was carried on. In all patients improvement in clinical symptoms was observed. We present you a typical clinical case of a patient with mucopyocele in left frontal sinus, who underwent surgical treatment with combined approach.
Conclusions: Our experience with this pathology shows that endonasal techniques lead to equal results compared to the open approach providing with minimal invasiveness and excellent physiological and aesthetic results.

Keywords

mucopyocele, frontal sinus, endonasal approach, external approach, endoscopic marsupialization

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References

Anirudh Shukla, Vivek Dudeja Large frontal sinus mucopyocele Clinical Rhinology January 2013 6(3): 131–135 DOI: 10.5005/jp-journals-10013–1173.

Seyda Belli, Mehmet Faruk Oktay Bilateral frontal sinus mucocele: Histopathological and clinical review of a case Medical Science and Discovery 2016; 3(1): 55–9.

Sushil Kumar Aggarwal, Kranti Bhavana, Amit Keshri, Raj Kumar, and Arun Srivastava Frontal sinus mucocele with orbital complications: Management by varied surgical approaches Asian J Neurosurg. 2012 Jul–Sep; 7(3): 135–140. doi: 10.4103/1793-5482.103718

M. Trimarchi, G. Bertazzoni, and M. Bussi Endoscopic Treatment of Frontal Sinus Mucoceles with Lateral Extension Indian J Otolaryngol Head Neck Surg. 2013 Apr; 65(2): 151–156.

Mitov, Glavinov, Cheshmedzhieva А severe clinical case in a patient with uncontrolled diabetes mellitus, in which after a fracture of the nasal bone, occurs necrosis, heavy breakdown of parts of the upper jaw, nasal bones, right orbit, the palate and surrounding them soft tissues of the face and mouth 20-ти Балкански Военномедицински конгрес 10 юни Солун, Гърция, 2015 г.

Kennedy DW, Josephson JS, Zinreich SJ, Mattox DE, Goldsmith MM. Endoscopic sinus surgery for mucoceles: a viable alternative. Laryngoscope. 1989;99:885–895. [PubMed] [Google Scholar].

Serrano E, Klossek JM, Percodani J, Yardeni E, Dufour X. Surgical management of paranasal sinus mucoceles: a long term study of 60 cases. Otolaryngol Head Neck Surg. 2004; 131: 133–140. doi: 10.1016/j.otohns.2004.02.014. [PubMed] [CrossRef] [Google Scholar].

Har-El G. Transnasal endoscopic management of frontal mucoceles. Otolaryngol Clin N Am.

Mitov St, Cheshmedzhieva At, Karjin E Operative treatment of a heavy fracture of an eye-socket and a cheek-bone 21-ви Балкански Военномедицински конгрес, Букурещ, 2016 г.

Beasley NJP, Jones NS. Paranasal sinus mucoceles: modern management. Am J Rhinol. 1995; 9: 251–256. doi: 10.2500/1050658957818087

[CrossRef] [Google Scholar].

Chiu AG, Vaughan WC. Management of the lateral frontal sinus lesion and the supraorbital cell mucocele. Am J Rhinol. 2004;18:83–86.[PubMed] [Google Scholar].

Yanagisawa E, Scher DA. Laterally positioned mucocele of the frontal sinus. ENT J. 2002; 81: 202–204.[PubMed] [Google Scholar].

Draf W. Endonasal micro-endoscopic frontal sinus surgery: the Fulda concept. Op Tech Otolaryngol Head Neck Surg. 1991; 2: 234–240. doi: 10.1016/S1043-1810(10)80087-9. [CrossRef] [Google Scholar]

Draf W. Endonasal frontal sinus drainage type I-III according to Draf. In: Kountakis S, Senior B, Draf W, editors. The frontal sinus. Berlin: Springer; 2005. pp. 219–232. [Google Scholar]

Хр. Виденова, М. Цеков, А. Чешмеджиева – Особен клиничен случай на тромбоза на vena centralis retinae в млада възраст-сп. Медицински преглед, 2019/2 бр., стр. 57–61.

Arrue P, Kany MT, Serrano E, Lacroix F, Percodani J, Yardeni E et al. Mucoceles of the paranasal sinuses: Uncommon location. J Laryngol Otol. 1998; 112: 840–4.

Brook I, Frazier EH. The microbiology of mucopyocele. Laryngoscope. 2001; 111: 1771–3.

Lund VJ, Milroy CM. Fronto-ethmoidal mucoceles: A histopathological analysis. J Laryngol Otol. 1991; 105: 921- 3. Belli et al. http://dx.doi. org/10.17546/msd.81068 59 Medical Science and Discovery, 2016; 3(1): 55–9.

Lund VJ, Harvey W, Meghji S, Harris M. Prostaglandin synthesis in the pathogenesis of fronto-ethmoidal mucoceles. Acta Otolaryngol. 1998; 106: 145–51.

Wormald PJ Surgery of the frontal recess and frontal sinus. Rhinology 2005; 43(2): 82–85.

Edelman RR, Hesselink JR, Zlatkin MB, Crues JV. Clinical Magnetic Rezonance Imaging: Philadelphia, Elsevier. Third Edition. 2006. p. 2035–7.




DOI: http://dx.doi.org/10.14748/orl.v15i4.6357

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