Frontoethmoido-Orbital Mucocele: A Case Report

Year 2011, Volume: 16 Issue: 3, 149 - 152, 01.06.2011

Öner Sakallıoğlu Sertaç Düzer Hasan Baki Altunsoy

Abstract

Mucoceles are the chronic cystic lesions of the paranasal sinuses. They can cause impression to the around tissues despite their benign nature. The patients with frontoethmoid mucocele that extended to the orbit may have complaint with outer pushing of the eye, diplopia and headache in general. For the treatment of mucocele, according to clinical situation of the patient, the external approach or recently advised endoscopic endonasal marsupialisation approach can be performed. We presented a case of frontoethmoido-orbital mucocele that extended to the orbit by destruction of lamina papyracea. No recurrens observed on clinical follow up. The clinical features of the patient and surgical management were discussed with the literature.

Keywords

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Frontoetmoido-Orbital Mukosel: Olgu Sunumu

Abstract

Mukoseller, paranazal sinüslerin kronik kistik lezyonlarıdır. İyi huylu olmalarına rağmen kemik erozyonuna yol açarak etraf komşu dokularda basıya yol açabilirler. Orbital bölgeye yayılım yapmış frontoetmoid mukosellerde hastaların başvuru nedenleri sıklıkla gözde dışa itilme, diplopi ve başağrısı olabilmektedir. Mukosel tedavisinde olgunun durumu göz önüne alınarak açık yaklaşımlar veya son zamanlarda önerilen endoskopik endonazal marsupiyalizasyon gibi cerrahi yöntemler uygulanmaktadır. Bu makalede lamina papriseada destrüksiyona yol açarak orbita içine yayılım göstermiş bir frontoetmoido-orbital mukosel olgusu sunuldu. Hastanın klinik takiplerinde nüks izlenmedi. Hastanın kliniği ve uygulanan cerrahi tedavi literatür eşliğinde tartışıldı.

Keywords

Mukosel, Klinik protokoller, Paranazal sinüs

References

• Lund VJ, Milroy CM. Frontoethmoidal mucoceles. A histopathological analysis. J Laryngol Otol 1991; 105: 921- 923.
• Zizmour J, Novek AM. Cyst and benign tumor of the para nasal sinuses. Roentgenol 1968; 3: 72-85.
• Rinna C, Cassoni A, Ungari C, Tedaldi M, Marianetti TM. Fronto-orbital mucoceles: our experience. J Craniofac Surg 2004; 15: 885-889.
• Khong JJ, Malhotra R, Wormald P J.. Endoscopic sinus surgery for paranasal sinus mucoceles with orbital involvement. Eye 2004; 18: 877-881.
• Aydin E, Akkuzu G, Akkuzu B, Bilezikci B. Frontal mucocele with an accompanying orbital abscess mimicking a fronto- orbital mucocele: case report. BMC Ear Nose Throat Disord 2006; 18: 6-7.
• Stankiewicz H. Sphenoid sinus mucocele. Arch Otolaryngol Head Neck Surg 1989; 115: 735-740.
• Bullock JD, Bartley GB. Dynamic proptosis. Am J Ophtalmol 1986; 102: 104-110.
• Kazkayası M, Arıkan O K, Dikici O, Tahran F D. Inverted papillomas accompanied by mucocele or carcinoma: Case report. Turkiye Klinikleri J Med Sci 2009; 29: 267-272
• Acar B, Babademez M A, Karabulut H, Baysal S, Karaşen R M. [Transient monocular blindness caused by fronto-ethmoid mucocele]. KBB ve Baş Boyun Cerrahisi Dergisi 2010; 18: 55-57.
• Har-El G. Endoscopic management of 108 sinus mucoceles. Laryngoscope 2001; 111: 2131-214.
• Obeso S, Llorente JL, Pablo Rodrigo J, Sánchez R, Mancebo G, Suárez C. Paranasal sinuses mucoceles. Our experience in 72 patients. Acta Otorrinolaringol Esp 2009; 60: 332-339.
• Shah A, Meyer D R, Parnes S. Management of frontoethmoidal mucoceles with orbital extension. Is primary orbital reconstruction necessary? Ophthal Plast Reconstr Surg 2007; 23 : 267-271.
• Gall R, Witterick I. Mucocele of the nasal septum. J Otolaryngol 2002; 31: 246-247.
• Kennedy WD, Jordan S, Josephson MD, Douglas E, et al. Endoscopic Sinus Surgery for mucoceles: A viable alternative. Laryngoscope 1989; 99: 885-895.
• Akdoğan V M, Çakmak Ö, Tarhan E, Tutar N U, Çakır B. Maxillary sinus pyocele: Report of two cases. KBB ve Baş Boyun Cerrahisi Dergisi 2005; 13: 29–33.
• Sciarretta V, Pasquini E, Farneti G, Ceroni AR. Endoscopic treatment of paranasal sinus mucoceles in children. Int J Pediatr Otorhinolaryngol 2004; 68: 955-960.
• Uzun L, Kalaycı M, Uğurbaş S H, Çağavi F, Açıkgöz B. A case of complicated fronto-orbital mucocele. KBB ve Baş Bo- yun Cerrahisi Dergisi 2004; 12: 11–15.
• Hadar T, Shvero J, Nageris BI, Yaniv E. Mucus retention cyst of the maxillary sinus: the endoscopic approach. Br J Oral Maxillofac Surg 2000; 38: 227-229.
• Perzin KH, Panyu H, Wechter S. Nonepithelial tumors of the tumors of the nasal cavity, paranasal sinuses, and nasopharynx: a clinicopathological study, XII: Schwann cell tumors (neurilemmoma, neurofibroma, malignant schwannoma). Cancer 1982; 50: 2193-2202.
• Uysal İ Ö, Yüce S, Köşger H H, Müderris S. Maxillary sinus mucocele: Report of a case. KBB ve Baş Boyun Cerrahisi Dergisi 2003; 11: 77–80.
• Uzun H K, İleri F, Akman E, Erkam Ü. Endoscopic approach in frontoethmoid mucoceles. KBB ve Baş Boyun Cerrahisi Dergisi 1996; 4: 39- 43.
• Gönderilme Tarihi: 07.03.2011