Frontal Mucopyocoeles: The Role of Open Surgery in the Era of Endoscopic Sinus Surgery: A Report of Two Cases
Endonasal approach for frontal sinus pathology has become the gold standard for sinus surgery. However, cases recurrent and refractory to functional endoscopic sinus surgery (FESS) need to be dealt with conventional (open) techniques.
Mucoceles of the paranasal sinuses are “benign, chronic, expanding lesions, filled with sterile mucus and epithelial cells” . The term “Mucocele” was coined by Rollet in 1896. Mucoceles of paranasal sinuses were first described by Langenback .
Mucoceles are caused by obstruction of the sinus ostium leading to accumulation of the mucous secretion within the sinus . The two most frequent causes of frontal sinus mucoceles are trauma and inflammation . An infected mucocele is termed a mucopyocele. They behave like expansile cystic lesions, eroding the surrounding bone and displacing the adjacent structures, even extending intracranially. Signs and symptoms include frontal pain, swelling, exophthalmos, diplopia and loss of vision ....
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The author declares that they have no conflict of interest.
- 1.Constantinidis J, Steinhart H, Schwerdtfeger K et al (2001) Therapy of invasive mucoceles of the frontal sinus. Rhinology 39:33Google Scholar
- 8.Lai PC, Liao SL, Jou JR et al (2004) Transcaruncular approach for the management of frontoethmoid mucoceles. Br J Ophthalmol 88:725Google Scholar