Giant Frontal Mucocele Occurring 32 Years after Frontal Bone Fracture: A Case Report

Giant mucoceles of the frontal sinus are rare but their recognition is important in the differential diagnosis of proptosis and fronto-orbital lesions. The authors describe a patient with frontal giant mucocele with intracranial as well as orbit and ethmoid sinus involvement. Thirty-two years after...

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Published inCase reports in neurology Vol. 4; no. 1; pp. 34 - 37
Main Authors Kamoshima, Yuuta, Terasaka, Shunsuke, Nakamaru, Yuji, Takagi, Dai, Fukuda, Satoshi, Houkin, Kiyohiro
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.01.2012
Karger Publishers
Subjects
External approach
Frontal sinus
Giant
Mucocele
Published: January 2012
Mucocele
External approach
Giant
Frontal sinus
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Summary:Giant mucoceles of the frontal sinus are rare but their recognition is important in the differential diagnosis of proptosis and fronto-orbital lesions. The authors describe a patient with frontal giant mucocele with intracranial as well as orbit and ethmoid sinus involvement. Thirty-two years after a frontal sinus fracture, a 51-year-old female presented with headache, and left exophthalmos and ophthalmoplegia. Computed tomography and magnetic resonance imaging demonstrated a giant frontal sinus mucocele with extension into the left anterior cranial fossa. The mucocele was treated with a transcranial and endoscopic transnasal approach. The frontal sinus was then cranialized with reconstruction of the posterior wall, and finally a wide nasal drainage was performed. The clinical symptoms disappeared immediately after surgery.
ISSN:1662-680X
1662-680X
DOI:10.1159/000336326