Sinus mucocele: Natural history and long-term recurrence rate

Mayne, Marie Devars du; Moya‐Plana, Antoine; Malinvaud, D.; Laccourreye, O.; Bonfils, P.

doi:10.1016/j.anorl.2011.10.002

Cited by 77 publications

(78 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The incidence of MPS varies from 1.5 to 4 per year dependent on the level of competence of the medical institution. 4,6,7 This is in contrast to the incidence reported in our study.…”

Section: Discussioncontrasting

confidence: 93%

See 1 more Smart Citation

Mucocele of the Paranasal Sinuses – Retrospective Analysis of a Series of Seven Cases

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The incidence of MPS varies from 1.5 to 4 per year dependent on the level of competence of the medical institution. 4,6,7 This is in contrast to the incidence reported in our study.…”

Section: Discussioncontrasting

confidence: 93%

“…3,4,8 According to Devars du Mayne et al, there is slight preponderance to the male gender (3:2) but here we report the opposite. 7 The disease etiology is not entirely clarifi ed. There are various theories that attempt on explaining the origin of MPS.…”

Section: Discussionmentioning

confidence: 99%

Mucocele of the Paranasal Sinuses – Retrospective Analysis of a Series of Seven Cases

et al. 2018

View full text Add to dashboard Cite

show abstract

“…They are cystic accumulations of mucoid secretions encased in desquamated respiratory epithelium that develop when sinus ostia are obstructed and drainage is impaired 2. Incidence of sinonasal mucoceles is highest between the fourth and fifth decades of life, without gender predominance.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic resection of a huge orbital ethmoidal mucocele masquerading as dacryocystocele

et al. 2018

View full text Add to dashboard Cite

Paranasal mucoceles are cystic masses lined with epithelium thought to result from chronic obstruction of an impaired sinus ostia. If sufficiency large, they can cause ophthalmological sequelae including diplopia, visual acuity, globe displacement as well as the rhinological symptoms of facial pain and headache. We present the case of a 57-year-old man who presented with a 1-year history of epiphora and right globe prominence with associated diplopia. Imaging demonstrated a mass located within the medial aspect of the orbit, closely associated to the lamina papyracea and nasolacrimal duct consistent with a dacryocystocele. An alternate diagnosis of an ethmoidal mucocele was considered preoperatively following rhinologist opinion. Complete endoscopic resection of the cyst was undertaken. Histopathology confirmed diagnosis of an ethmoidal mucocele. Our report highlights mucocele should be considered in patients with chronic symptoms secondary to a mass situated in the nasolacrimal duct without radiological orbital bone destruction.

show abstract

“…2 Diagnosis is usually made on imaging: computed tomography may illustrate an expansile soft tissue lesion with surrounding bony remodeling and thinning, and magnetic resonance imaging (MRI) may show variable degrees of proteinaceous fluid and delineate the relationship among the mucocele, brain tissue, the orbit, and other soft tissues. 1 During early development, mucocele content is typically aqueous, resulting in hypointensity on T1-weighted MRI and hyperintensity on T2-weighted MRI. With time, proteinaceous material may accumulate, causing hyperintensity on T1- and T2-weighted images.…”

mentioning

confidence: 99%

Endoscopic Management of Paranasal Sinus Mucoceles: Meta‐analysis of Visual Outcomes

Zukin

Hink

Liao

et al. 2017

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective Paranasal sinus mucoceles are benign cystic lesions originating from sinus mucosa that can impinge on adjacent orbital structures, causing ophthalmic sequelae such as decreased visual acuity. Definitive treatment requires surgery. We present the first meta-analysis quantifying the effect of preoperative visual function and time to surgery on postoperative visual acuity outcomes. Data Sources PubMed, Ovid, Embase, Web of Science, and the Cochrane Library. Methods Two independent authors systematically reviewed articles describing outcomes after endoscopic sinus surgery for paranasal sinus mucoceles presenting with visual loss. Available data from case reports and series were combined to analyze the associations among preoperative visual acuity, time to surgery, and postoperative outcomes. Results Eighty-five studies were included that provided data on 207 patients. The average presenting visual acuity was 1.57 logMAR (logarithm of the minimum angle of resolution), and the average postoperative visual acuity was 0.21 logMAR, with visual improvement in 71.5% of cases. Preoperative visual acuity ≥1.52 logMAR correlated with postoperative improvement >1 logMAR (R = 0.4887, P<.0001). A correlation was found between a time to surgery <6 days and postoperative improvement (R = 0.297, P <.0001). Receiver operator curve analysis of these thresholds demonstrated a moderately accurate prognostic ability (area under the curve: 75.1 for preoperative visual acuity and 73.1 for time to surgery). Conclusion Visual loss resulting from paranasal sinus mucoceles is potentially reversible in most cases, even those presenting with poor vision. When possible, surgery should be performed promptly after diagnosis, but emergency surgery does not appear to be necessary for vision restoration.

show abstract

Sinus mucocele: Natural history and long-term recurrence rate

Abstract: This study demonstrates the high recurrence rate of mucocele, particularly in multi-operated patients with chronic sinusitis. Long-term, regular, clinical and radiological follow-up is necessary to detect asymptomatic lesions prior to the onset of complications.

Cited by 77 publications

References 10 publications

Mucocele of the Paranasal Sinuses – Retrospective Analysis of a Series of Seven Cases

Mucocele of the Paranasal Sinuses – Retrospective Analysis of a Series of Seven Cases

Endoscopic resection of a huge orbital ethmoidal mucocele masquerading as dacryocystocele

Endoscopic Management of Paranasal Sinus Mucoceles: Meta‐analysis of Visual Outcomes

Contact Info

Product

Resources

About