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Contemporary Management of Frontal Sinus Mucoceles

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Frontal Sinus Surgery

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Abstract

The frontal sinus is the most common location for paranasal sinus mucoceles. Prolonged expansion of a mucocele can lead to complications such as pain and pressure, eyelid edema, frontal headaches, cranial nerve palsy, and facial deformity from bony remodeling. Mucoceles develop due to accumulation of physiologic mucus production which has lost an avenue for egress. After the diagnosis is made, mucoceles require drainage and marsupialization of the mucus-filled cavity. Traditionally drainage of a mucocele was accomplished through open approaches to the sinuses with complete excision of the mucocele. However, mucoceles have increasingly become managed with endoscopic marsupialization techniques. This chapter details the management of frontal mucoceles.

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Author information

Authors and Affiliations

  1. Boston University Medical Center, Department of Otolaryngology, Boston, MA, USA

    Christopher D. Brook

  2. Massachusetts Eye and Ear Infirmary, Harvard Medical School, Department of Otolaryngology, Boston, MA, USA

    Benjamin S. Bleier

Authors
  1. Christopher D. Brook
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  2. Benjamin S. Bleier
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Editor information

Editors and Affiliations

  1. Prof of Otolaryngology, Mayo Clinic College of Medicine and Science, Associate Dean, Mayo Clinic School of Continuous Professional Development, Consultant, Dept of Otolaryngology-Head and Neck Surgery, Consultant (Joint), Dept of Neurological Surgery, Mayo Clinic, Phoenix, AZ, USA

    Devyani Lal

  2. Professor and Chief, Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology – Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Peter H. Hwang

Electronic Supplementary Material

Endoscopic drainage of a left fronto-orbital mucocele Frontal sinus surgery paranasal sinus mucoceles fronto-orbital mucocele in the setting of prior trauma. Note the linked CT scan demonstrating erosion of the anterior table of the frontal sinus and thinning of the skull base (MOV 25582 kb)

Endoscopic drainage of a right subperiosteal mucocele Frontal sinus surgery paranasal sinus mucoceles subperiosteal mucocele from associate frontoethmoidal disease (M4V 33085 kb)

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Brook, C.D., Bleier, B.S. (2019). Contemporary Management of Frontal Sinus Mucoceles. In: Lal, D., Hwang, P. (eds) Frontal Sinus Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-97022-6_13

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  • DOI: https://doi.org/10.1007/978-3-319-97022-6_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97021-9

  • Online ISBN: 978-3-319-97022-6

  • eBook Packages: MedicineMedicine (R0)

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