Maxillary Sinus Mucocele as a Late Complication in Zygomatic-Orbital Complex Fracture

Abstract

This article presents an unusual case of maxillary sinus mucocele as a late complication of zygomatic-orbital complex fracture, 23 years after the initial treatment. The patient was referring diplopia and decreased visual acuity with signs of dystopia, proptosis, and epiphora. Computed tomographic scan revealed an expansive lesion in the maxillary sinus with surrounding bone erosion and displacement of the eyeball. Treatment option was excisional biopsy and orbital floor reconstruction with titanium mesh restoring the appropriate orbital position. We propose that in the case of postoperative ophthalmological sequelae of facial fractures involving paranasal sinuses, mucocele should be considered in the differential diagnosis.

Endoscopic transorbital management of frontal sinus mucocele: a case report and review of the literature

“…The most common complaints of frontal mucoceles are headache and ocular symptoms. Patients may exhibit orbital displacement, proptosis, diplopia, ophthalmoplegia and decreased visual acuity [ 4 , 5 ]. Paranasal sinus CT scan is the gold standard confirmatory test, which can trace the extent of mucoceles and help navigate through the sinuses [ 6 ].…”

A Comprehensive Clinical Review of Maxillary Sinus Floor Elevation in Patients with Well-Defined Faintly Radiopaque Lesions in the Antrum

“…Postoperative swelling of the sinus membrane may occur [5], leading to the development of sinusitis due to the impairment of osteo-meatal complex patency. Additional surgery is required after sinus floor elevation or during the maintenance stage if the lesion is diagnosed as a mucocele [6,7] or tumour [8,9].…”

Orbital Reconstruction Using a Polyetheretherketone Patient-Specific Implant After Removal of a Mucocele Developing After Orbital Fracture Repair

“…Surgical enucleation via an open field, or endoscopically, is common 4 . The defects are covered using various orbital implants, such as titanium mesh 5 . Here, we introduce a patient who presented with a mucocele that developed after reconstruction of an orbital fracture 20 years prior.…”

“… 4 The defects are covered using various orbital implants, such as titanium mesh. 5 Here, we introduce a patient who presented with a mucocele that developed after reconstruction of an orbital fracture 20 years prior. CT and MRI revealed an encysted lesion encasing the mesh plate in the right orbit and extending into the ethmoidal sinus.…”