Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description

Sergei Karpishchenko; Anton Kurus; Elizaveta Bolozneva; Olga Stancheva; Natalya Sokolova; Drimitrii Kaplun

Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description

Abstract

Isolated mucocele of the posterior ethmoid cells is a relatively rare pathological condition, so the technical features of its surgical treatment have not been clearly de!ned. Traditional approaches to this region include opening all ethmoid cells and using general anesthesia as patient support. However, in patients with limitations regarding anesthesia, it may pose problems. The present paper discusses a clinical case of a posterior ethmoid cell mucocele that was drained by direct access medially from the middle turbinate, similar to access to the sphenoethmoidal recess. In addition, given the small amount of damage, it was decided to perform the operation under combined anesthesia, and image guidance was used for the speed and accuracy of the surgical approach. A direct endoscopic approach for isolated posterior ethmoid cell pathology can serve as an alternative to standard access. If it is necessary to open only the posterior ethmoid cell in patients with high risks of general anesthesia, an endoscopic approach through the middle turbinate can be used.

Keywords

References

Reference 1. Iannetti%G, Cascone%P, Valentini%V, Agrillo%A. Paranasal sinus mucocele: diagno- sis and treatment. J Craniofac Surg. 1997;8(5):391-398. [CrossRef]
Reference 2. Lee% KC, Lee% NH. Comparison of clinical characteristics between primary and secondary paranasal mucoceles. Yonsei Med J. 2010;51(5):735-739. [CrossRef]
Reference 3. Gur%OE, Kaymakci%M, Sonbay Yilmaz%DN. Paranasal sinus mucoceles. J. Ann Eu Med. 2016;4(3):87-92. [CrossRef]
4. Soon%SR, Lim%CM, Singh%H, Sethi%DS. Sphenoid sinus mucocele: 10 cases and literature review. J Laryngol Otol. 2010;124(1):44-47. [CrossRef]
5. Lund%VJ. Fronto-etmoidal mucoceles: a histopathological analysis. J Laryngol- goy Otol. 1991;105:921-923.
6. Herndon% M, McMains% KC, Kountakis% SE. Presentation and management of extensive fronto-orbital-ethmoid mucoceles. Am J Otolaryngol. 2007;28(3):145- 147. [CrossRef]
7. Karpishchenko%SA, Vereshchagina%OE, Stancheva%OA. The experience of endo- scopic surgical treatment of isolated mucoceles of ethmoidal labyrinth. Folia Otorhinolaryngologiae Pathologiae Respiratoriae. 2015;21(2):57-59. (in Russ).
8. Plantier% DB, Neto% DB, Pinna% FR, Voegels% RL. Mucocele: clinical characteristics and outcomes in 46 operated patients. Int Arch Otorhinolaryngol. 2019;23(1):88- 91. [CrossRef]

Details

Primary Language

English

Subjects

Allergy

Journal Section

Research Article

Authors

Sergei Karpishchenko This is me
Russian Federation

Anton Kurus This is me
Russian Federation

Elizaveta Bolozneva This is me
Russian Federation

Olga Stancheva This is me
Russian Federation

Natalya Sokolova This is me
Russian Federation

Drimitrii Kaplun This is me
Russian Federation

Publication Date

April 20, 2025

Submission Date

September 23, 2024

Acceptance Date

December 5, 2024

Published in Issue

Year 2025 Volume: 8 Number: 1

IZ

https://izlik.org/JA54BS78AZ

Cite

RIS / Bibtex

APA

Karpishchenko, S., Kurus, A., Bolozneva, E., Stancheva, O., Sokolova, N., & Kaplun, D. (2025). Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description. European Journal of Rhinology and Allergy, 8(1), 45-49. https://izlik.org/JA54BS78AZ

AMA

1.Karpishchenko S, Kurus A, Bolozneva E, Stancheva O, Sokolova N, Kaplun D. Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description. Eur J Rhinol Allergy. 2025;8(1):45-49. https://izlik.org/JA54BS78AZ

Chicago

Karpishchenko, Sergei, Anton Kurus, Elizaveta Bolozneva, Olga Stancheva, Natalya Sokolova, and Drimitrii Kaplun. 2025. “Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description”. European Journal of Rhinology and Allergy 8 (1): 45-49. https://izlik.org/JA54BS78AZ.

EndNote

Karpishchenko S, Kurus A, Bolozneva E, Stancheva O, Sokolova N, Kaplun D (April 1, 2025) Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description. European Journal of Rhinology and Allergy 8 1 45–49.

IEEE

[1]S. Karpishchenko, A. Kurus, E. Bolozneva, O. Stancheva, N. Sokolova, and D. Kaplun, “Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description”, Eur J Rhinol Allergy, vol. 8, no. 1, pp. 45–49, Apr. 2025, [Online]. Available: https://izlik.org/JA54BS78AZ

ISNAD

Karpishchenko, Sergei - Kurus, Anton - Bolozneva, Elizaveta - Stancheva, Olga - Sokolova, Natalya - Kaplun, Drimitrii. “Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description”. European Journal of Rhinology and Allergy 8/1 (April 1, 2025): 45-49. https://izlik.org/JA54BS78AZ.

JAMA

1.Karpishchenko S, Kurus A, Bolozneva E, Stancheva O, Sokolova N, Kaplun D. Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description. Eur J Rhinol Allergy. 2025;8:45–49.

MLA

Karpishchenko, Sergei, et al. “Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description”. European Journal of Rhinology and Allergy, vol. 8, no. 1, Apr. 2025, pp. 45-49, https://izlik.org/JA54BS78AZ.

Vancouver

1.Sergei Karpishchenko, Anton Kurus, Elizaveta Bolozneva, Olga Stancheva, Natalya Sokolova, Drimitrii Kaplun. Endoscopic Approach to Isolated Mucocele of the Posterior Ethmoid, Challenge, and Technique Description. Eur J Rhinol Allergy [Internet]. 2025 Apr. 1;8(1):45-9. Available from: https://izlik.org/JA54BS78AZ