Paranasal sinus mucoceles are cyctic lesions that occur as a result of accumulation of mucoid secretion and desquamated epithelium, leading to distension by growing in an expansile and destructive manner within the sinus wall. The frontal sinus is most commonly involved, whereas sphenoid, ethmoid, and maxillary mucoceles are rare. However, bilateral frontal sinus involvement is rather rare. If the cyst invades the adjacent orbit and continues to expand within the orbital cavity, the mass may mimic the behavior of many benign growths primary in the orbit. Here, we present a case with frontal mucocele involving bilateral sinuses. It was manifested with proptosis and exophthalmia of the left eye in a forty year-old male patient. Paranasal computed tomography scan and magnetic resonance imaging revealed an image consistent with mucocele. We performed intranasal frontal sinusectomy via endoscopic approach. No orbital and intranasal complication developed at the end of the surgery. We report here that endoscopic drainage, performed by experienced hands, could be preferred surgical approach in rare case of bilateral frontal mucocele case.
Kharrat S, Mardassi A, Charfeddine A, Beltaief N, Sahtout S, Besbes G. Bilateral fontal sinus mucocele. Tunis Med. 2011;89:651-2.
Sakae FA,Araújo Filho BC, Lessa M,Voegels RL,Butugan O. Bilateral frontal sinus mucocele. Braz J Otorhinolaryngo. 2006;72:428.
Aggarwal SK, Bhavana K, Keshri A, Kumar R, Srivastava A . Frontal sinus mucocele with orbital complications: Management by varied surgical approaches. Asian J Neurosurg. 2012;7:135-40. doi: 10.4103/1793-5482.103718.
Mohan S. Frontal sinus mucocele with intracranial and intraorbital extension: A case report. J Maxillofac Oral Surg. 2012 ;11:337-9. doi: 10.1007/s12663-010-0163-z.
Galiè M, Mandrioli S, Tieghi R, Clauser L. Giant mucocele of the frontal sinus. J Craniofac Surg. 2005 ;16:933-5.
Chew YK, Noorizan Y, Khir A, Brito-Mutunayagam S, Prepageran N. Frontal mucocoele secondary to nasal polyposis: an unusual complication. Singapore Med J. 2009 ;50: 374-5.
Edelman RR, Hesselink JR, Zlatkin MB, Crues JV. Clinical Magnetic Rezonance Imaging: Philadelphia, Elsevier. Third Edition. 2006. p. 2035-7.
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.
Lund VJ, Harvey W, Meghji S, Harris M. Prostaglandin synthesis in the pathogenesis of fronto-ethmoidal mucoceles. Acta Otolaryngol. 1998; 106: 145-51.
Chobillion MA, Jankowski R. Relationship between mucoceles, nasal polyposis and nasalisation. Rhinology. 2004;43: 219-24.
Bilateral frontal sinus mucocele: Histopathological and clinical review of a case
Kharrat S, Mardassi A, Charfeddine A, Beltaief N, Sahtout S, Besbes G. Bilateral fontal sinus mucocele. Tunis Med. 2011;89:651-2.
Sakae FA,Araújo Filho BC, Lessa M,Voegels RL,Butugan O. Bilateral frontal sinus mucocele. Braz J Otorhinolaryngo. 2006;72:428.
Aggarwal SK, Bhavana K, Keshri A, Kumar R, Srivastava A . Frontal sinus mucocele with orbital complications: Management by varied surgical approaches. Asian J Neurosurg. 2012;7:135-40. doi: 10.4103/1793-5482.103718.
Mohan S. Frontal sinus mucocele with intracranial and intraorbital extension: A case report. J Maxillofac Oral Surg. 2012 ;11:337-9. doi: 10.1007/s12663-010-0163-z.
Galiè M, Mandrioli S, Tieghi R, Clauser L. Giant mucocele of the frontal sinus. J Craniofac Surg. 2005 ;16:933-5.
Chew YK, Noorizan Y, Khir A, Brito-Mutunayagam S, Prepageran N. Frontal mucocoele secondary to nasal polyposis: an unusual complication. Singapore Med J. 2009 ;50: 374-5.
Edelman RR, Hesselink JR, Zlatkin MB, Crues JV. Clinical Magnetic Rezonance Imaging: Philadelphia, Elsevier. Third Edition. 2006. p. 2035-7.
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.
Lund VJ, Harvey W, Meghji S, Harris M. Prostaglandin synthesis in the pathogenesis of fronto-ethmoidal mucoceles. Acta Otolaryngol. 1998; 106: 145-51.
Chobillion MA, Jankowski R. Relationship between mucoceles, nasal polyposis and nasalisation. Rhinology. 2004;43: 219-24.
Belli, S., & Oktay, M. (2016). BILATERAL FRONTAL SINUS MUCOCELE: A CASE REPORT. Medical Science and Discovery, 3(1), 55-9. https://doi.org/10.17546/msd.81068
AMA
Belli S, Oktay M. BILATERAL FRONTAL SINUS MUCOCELE: A CASE REPORT. Med Sci Discov. Ocak 2016;3(1):55-9. doi:10.17546/msd.81068
Chicago
Belli, Seyda, ve Mehmet Oktay. “BILATERAL FRONTAL SINUS MUCOCELE: A CASE REPORT”. Medical Science and Discovery 3, sy. 1 (Ocak 2016): 55-9. https://doi.org/10.17546/msd.81068.
EndNote
Belli S, Oktay M (01 Ocak 2016) BILATERAL FRONTAL SINUS MUCOCELE: A CASE REPORT. Medical Science and Discovery 3 1 55–9.
IEEE
S. Belli ve M. Oktay, “BILATERAL FRONTAL SINUS MUCOCELE: A CASE REPORT”, Med Sci Discov, c. 3, sy. 1, ss. 55–9, 2016, doi: 10.17546/msd.81068.
ISNAD
Belli, Seyda - Oktay, Mehmet. “BILATERAL FRONTAL SINUS MUCOCELE: A CASE REPORT”. Medical Science and Discovery 3/1 (Ocak 2016), 55-9. https://doi.org/10.17546/msd.81068.
JAMA
Belli S, Oktay M. BILATERAL FRONTAL SINUS MUCOCELE: A CASE REPORT. Med Sci Discov. 2016;3:55–9.
MLA
Belli, Seyda ve Mehmet Oktay. “BILATERAL FRONTAL SINUS MUCOCELE: A CASE REPORT”. Medical Science and Discovery, c. 3, sy. 1, 2016, ss. 55-9, doi:10.17546/msd.81068.
Vancouver
Belli S, Oktay M. BILATERAL FRONTAL SINUS MUCOCELE: A CASE REPORT. Med Sci Discov. 2016;3(1):55-9.