Mucoceles de senos paranasales. Nuestra experiencia en 72 pacientes

Complicated Fronto-Orbital Mucopyocele Presenting with Proptosis: Case Report

“…CT is used due to its superiority in the visualization of bones, providing information about coronal, sagittal, axial planes and enabling three dimensional studies [8, 9]. In our case, mucopyocele was diagnosed using MRI.…”

“…Obliteration of the involved sinus is not recommended if there is erosion of the sinus bony wall with extension of the mucocele either intracranially or into the orbit. Mucoceles are treated surgically either with external approach or endoscopic approach [9, 10]. During long-term follow-up of patients who underwent endoscopic marsupialization, recurrences have been rarely (if any) encountered [7, 10].…”

“…During long-term follow-up of patients who underwent endoscopic marsupialization, recurrences have been rarely (if any) encountered [7, 10]. Obeso et al performed endoscopic marsupialization in 48 of 72 cases of mucocele and external approach in the remaining cases and reported lower recurrence rates for the endoscopic approach [9]. However, external approach is recommended in the complicated, and infected mucoceles which destructed the bones severely [5, 10].…”

“…It is suggested that the mucocele wall is an ideal lining for the developing cavity, and its removal is not appropriate [9]. However, this suggestion is not valid for the cases of mucopyocele complicated with infection and extending into the surrounding tissues secondary to bony destruction.…”

Sudden Hemianopsia Secondary to Ethmoid Sinus Mucocele

“…Most commonly affected are the frontal (60 to 65%) and ethmoidal (20 to 30%) sinuses, followed by the maxillary (10%) and sphenoidal (2 to 3%) sinuses. 3 …”