Endoscopic Marsupialisation of the Lateral Frontal Sinus Mucocele With Orbital Extension: A Case Report

Abstract

Introduction:Frontal sinus mucoceles are the commonest among all paranasal mucoceles. With introduction of functional endoscopic sinus surgery, surgeons prefer endoscopic management of sinus mucoceles, but lesions that appear in the lateral part of the frontal sinus can be difficult to access and often need external approaches.Case Presentation:We described a lateral frontal sinus mucocele with intra-orbital extension, which was successfully managed by endoscopic sinus surgery.Conclusions:Endoscopic sinus surgery is the treatment of choice in most frontal sinus mucoceles including lateral frontal mucoceles.

Septic Cavernous Sinus Thrombosis: A Case Report

“…Less common primary sites of infection include (in order of frequency) the tonsils, soft palate, middle ear, and orbit (orbital cellulitis). The highly anastomotic venous system of the paranasal sinuses allows retrograde spread of infection to the cavernous sinus via the superior and inferior ophthalmic veins ( 6 , 7 ). Staphylococcus aureus is the most common infectious microbe, found in 70% of cases ( 8 ).…”

Combined Surgical Approach in the Treatment of Oculoorbital Complications of Frontal Sinus Mucocele: A Case Report

“…Martel-Martin et al indicate an external approach for frontal mucoceles which only affect the most external and posterosuperior region of the sinus, when the appearance of the mucocele is the consequence of an endosinusal process which septates the sinus, such as an osteoma or major sclerosis in the region of the frontal recess (2). On the other hand, Sharouny et al suggest that endoscopic sinus surgery is the treatment of choice in most cases of frontal sinus mucoceles including lateral frontal mucoceles (23). While smaller lesions can be treated endoscopically, larger lesions can usually be managed only via external procedures and sinus obliteration to prevent the ascending infections (14).…”

Combined approach in complicated frontal sinusitis

“…Günümüzde frontal sinüslere yaklaşımlar, patolojinin niteliğine uygun olarak fonksiyonel endoskopik sinüs cerrahisi (Draft 1-2-3), eksternal yaklaşım gerektiğinde ise trefinasyon, modifiye Lothrop işlemi ve osteoplastik f lep tekniği olarak sayılabilir. [5,7,8] Cerrahi tercih hastalığın yerleşim yerine ve enfeksiyonun yaygınlığına göre belirlenir. [9] Sınırlı, frontal ostiyuma yakın mukosellerde ve kronik osteomiyelit bulguları olmayan kronik frontal sinüzit lezyonlarında endoskopik yol tercih edilebilirken, daha ilerlemiş olgularda (örneğin; osteomiyelit ve fistül varlığı/frontal sinüs arka duvarı ya da orbital kemik duvarda defekt oluşması) eksternal yaklaşımlar tercih edilir.…”