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Ophthalmic complications of paranasal sinus mucoceles

Year 2010, Volume: 20 Issue: 5, 232 - 236, 15.10.2010

Abstract

Objectives: This study aimed to describe ophthalmic complications of paranasal sinus mucoceles and principles of treatment. Patients and Methods: The medical records of 25 paranasal sinus mucoceles patients 18 males, 7 females; mean age 35 years; range 20 to 62 years that had been treated in two different ear, nose and throat clinics between the years January 2004 and June 2009 were evaluated retrospectively. Out of 22 patients of who had developed internal mucoceles in anterior paranasal sinuses, diplopia was observed in five, proptosis in four and partial loss of sight in one. Out of three patients with posterior paranasal sinus mococeles, two developed diplopia and one developed proptosis, with loss of sight in all three. Eight patients were treated using osteoplastic flap technique and the remaining 17 were treated using endoscopic sinus surgery. Results: In only one patient was loss of sight permanent whereas, in all the other patiens eye complications resolved. Conclusion: In mucoceles that involve the posterior ethmoid and sphenoid sinuses loss of sight can be observed often because of their adjacency to the optic nerves, and loss can be permanent in advanced disease. It is possible to obtain good results in most patients treated in time with endoscopic sinus surgery and osteoplastic flep techniques.

References

  • Ikeda K, Takahashi C, Oshima T, Suzuki H, Satake M, Hidaka H, et al. Endonasal endoscopic marsupi- alization of paranasal sinus mucoceles. Am J Rhinol 2000;14:107-11.
  • Ural A, Kutluhan A, Berçin S, Bozdemir K. Sfenoid sinüs mukoseline ikincil abdusens sinir paralizisi: olgu sunumu. KBB Forum 2006:5;94-6.
  • Kumagai M, Hashimoto S, Suzuki H, Matsuura K, Takahashi E. Orbital apex syndrome caused by sphenoethmoid mucocele. Auris Nasus Larynx 2003; 30:295-7.
  • Har-El G. Endoscopic management of 108 sinus muco- celes. Laryngoscope 2001;111:2131-4.
  • Arrué 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.
  • Gall R, Witterick I. Mucocele of the nasal septum. J Otolaryngol 2002;31:246-7.
  • Armengot M, Ruiz N, Carda C, Hostalet P, Basterra J. Concha bullosa mucocele with invasion of the orbit. Otolaryngol Head Neck Surg 1999;121:650-2.
  • Heylbroeck P, Watelet JB, Delbeke P, Van Cauwenberge P, Bachert C. Vision impairment as presenting symptom of a sphenoidal mucocele. Rhinology 2003;41:187-91.
  • Di Girolamo S, Cannizzaro P, Picciotti P, Nardi C. Ophthalmoplegia and ptosis as onset symptoms of an isolated primary mucocele of the sphenoid sinus. J Oral Maxillofac Surg 2002;60:1500-2.
  • Sautter NB, Citardi MJ, Perry J, Batra PS. Paranasal sinus mucoceles with skull-base and/or orbital erosion: is the endoscopic approach sufficient? Otolaryngol Head Neck Surg 2008;139:570-4.
  • Caylakli F, Yavuz H, Cagici AC, Ozluoglu LN. Endoscopic sinus surgery for maxillary sinus muco- celes. Head Face Med 2006;2:29.
  • Khong JJ, Malhotra R, Selva D, Wormald PJ. Efficacy of endoscopic sinus surgery for paranasal sinus mucocele including modified endoscopic Lothrop procedure for frontal sinus mucocele. J Laryngol Otol 2004;118:352-6.
  • Wormald PJ. Salvage frontal sinus surgery: the endo- scopic modified Lothrop procedure. Laryngoscope 2003;113:276-83.

Paranazal sinüs mukosellerinin göz komplikasyonları

Year 2010, Volume: 20 Issue: 5, 232 - 236, 15.10.2010

Abstract

Amaç: Çalışmamızda paranazal sinüs mukosellerin oftalmik komplikasyonlarının ve tedavi prensiplerinin ortaya konulması amaçlandı.Hastalar ve Yöntemler: Ocak 2004 - Haziran 2009 tarihleri arasında iki ayrı kulak burun boğaz kliniğinde paranazal sinüs mukoseli nedeni ile tedavi edilen 25 hastanın 18 erkek, 7 kadın; ort. yaş 35 yıl; dağılım 20-62 yıl tıbbi kayıtları geriye dönük olarak incelendi. Ön paranazal sinüslerde gelişmiş internal mukoseli olan 22 hastanın beşinde diplopi, dördünde proptozis ve birinde kısmi görme kaybı görüldü. Arka paranazal sinüs mokoselli üç hastanın ikisinde diplopi, birinde proptozis gelişti ve hastaların üçünde de görme kaybı izlendi. Hastaların sekizi osteoplastik flep tekniği ile geri kalan 17’si ise endoskopik sinüs cerrahisi ile tedavi edildi.Bulgular: Bir hastada görme kaybı kalıcı olurken, diğer hastaların tamamında göz komplikasyonlarının iyileştiği görüldü.Sonuç: Arka etmoid ve sfenoid sinüsleri tutan mukosellerde optik sinire yakınlık nedeniyle görme kaybı ortaya çıkmakta ve tedavide geç kalınmış olgularda görme kaybı kalıcı olabilmektedir. Zamanında yapılan endoskopik sinüs cerrahisi veya osteoplastik flep ameliyatları ile bu hastaların büyük kısmında tam iyileşme elde etmek mümkündür

References

  • Ikeda K, Takahashi C, Oshima T, Suzuki H, Satake M, Hidaka H, et al. Endonasal endoscopic marsupi- alization of paranasal sinus mucoceles. Am J Rhinol 2000;14:107-11.
  • Ural A, Kutluhan A, Berçin S, Bozdemir K. Sfenoid sinüs mukoseline ikincil abdusens sinir paralizisi: olgu sunumu. KBB Forum 2006:5;94-6.
  • Kumagai M, Hashimoto S, Suzuki H, Matsuura K, Takahashi E. Orbital apex syndrome caused by sphenoethmoid mucocele. Auris Nasus Larynx 2003; 30:295-7.
  • Har-El G. Endoscopic management of 108 sinus muco- celes. Laryngoscope 2001;111:2131-4.
  • Arrué 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.
  • Gall R, Witterick I. Mucocele of the nasal septum. J Otolaryngol 2002;31:246-7.
  • Armengot M, Ruiz N, Carda C, Hostalet P, Basterra J. Concha bullosa mucocele with invasion of the orbit. Otolaryngol Head Neck Surg 1999;121:650-2.
  • Heylbroeck P, Watelet JB, Delbeke P, Van Cauwenberge P, Bachert C. Vision impairment as presenting symptom of a sphenoidal mucocele. Rhinology 2003;41:187-91.
  • Di Girolamo S, Cannizzaro P, Picciotti P, Nardi C. Ophthalmoplegia and ptosis as onset symptoms of an isolated primary mucocele of the sphenoid sinus. J Oral Maxillofac Surg 2002;60:1500-2.
  • Sautter NB, Citardi MJ, Perry J, Batra PS. Paranasal sinus mucoceles with skull-base and/or orbital erosion: is the endoscopic approach sufficient? Otolaryngol Head Neck Surg 2008;139:570-4.
  • Caylakli F, Yavuz H, Cagici AC, Ozluoglu LN. Endoscopic sinus surgery for maxillary sinus muco- celes. Head Face Med 2006;2:29.
  • Khong JJ, Malhotra R, Selva D, Wormald PJ. Efficacy of endoscopic sinus surgery for paranasal sinus mucocele including modified endoscopic Lothrop procedure for frontal sinus mucocele. J Laryngol Otol 2004;118:352-6.
  • Wormald PJ. Salvage frontal sinus surgery: the endo- scopic modified Lothrop procedure. Laryngoscope 2003;113:276-83.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Caner Şahin This is me

Abdullah Durmaz This is me

Üzeyir Yıldızoğlu This is me

Yusuf Uysal This is me

Fuat Tosun This is me

Publication Date October 15, 2010
Published in Issue Year 2010 Volume: 20 Issue: 5

Cite

APA Şahin, C., Durmaz, A., Yıldızoğlu, Ü., Uysal, Y., et al. (2010). Paranazal sinüs mukosellerinin göz komplikasyonları. The Turkish Journal of Ear Nose and Throat, 20(5), 232-236.
AMA Şahin C, Durmaz A, Yıldızoğlu Ü, Uysal Y, Tosun F. Paranazal sinüs mukosellerinin göz komplikasyonları. Tr-ENT. October 2010;20(5):232-236.
Chicago Şahin, Caner, Abdullah Durmaz, Üzeyir Yıldızoğlu, Yusuf Uysal, and Fuat Tosun. “Paranazal sinüs Mukosellerinin göz Komplikasyonları”. The Turkish Journal of Ear Nose and Throat 20, no. 5 (October 2010): 232-36.
EndNote Şahin C, Durmaz A, Yıldızoğlu Ü, Uysal Y, Tosun F (October 1, 2010) Paranazal sinüs mukosellerinin göz komplikasyonları. The Turkish Journal of Ear Nose and Throat 20 5 232–236.
IEEE C. Şahin, A. Durmaz, Ü. Yıldızoğlu, Y. Uysal, and F. Tosun, “Paranazal sinüs mukosellerinin göz komplikasyonları”, Tr-ENT, vol. 20, no. 5, pp. 232–236, 2010.
ISNAD Şahin, Caner et al. “Paranazal sinüs Mukosellerinin göz Komplikasyonları”. The Turkish Journal of Ear Nose and Throat 20/5 (October 2010), 232-236.
JAMA Şahin C, Durmaz A, Yıldızoğlu Ü, Uysal Y, Tosun F. Paranazal sinüs mukosellerinin göz komplikasyonları. Tr-ENT. 2010;20:232–236.
MLA Şahin, Caner et al. “Paranazal sinüs Mukosellerinin göz Komplikasyonları”. The Turkish Journal of Ear Nose and Throat, vol. 20, no. 5, 2010, pp. 232-6.
Vancouver Şahin C, Durmaz A, Yıldızoğlu Ü, Uysal Y, Tosun F. Paranazal sinüs mukosellerinin göz komplikasyonları. Tr-ENT. 2010;20(5):232-6.