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

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 s...

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Published inCraniomaxillofacial trauma & reconstruction Vol. 9; no. 4; pp. 342 - 344
Main Authors da Silva de Menezes, Juliana Dreyer, Moura, LucasBorin, Pereira-Filho, ValfridoAntonio, Hochuli-Vieira, Eduardo
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.11.2016
Thieme Medical Publishers
Subjects
Case Report
proptosis
mucocele
maxillary sinus
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Summary: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.
ISSN:1943-3875
1943-3883
DOI:10.1055/s-0036-1582453