Mucoceles of Paranasal Sinuses: A Single Centre Experience
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ORIGINAL ARTICLE
Mucoceles of Paranasal Sinuses: A Single Centre Experience Raghunath D. Shanbag1 • Aniketh Pandurangi1
•
Rashmi Dinesh1
Received: 15 June 2020 / Accepted: 5 October 2020 Ó Association of Otolaryngologists of India 2020
Abstract Describe experience of managing paranasal sinus mucoceles, with either endoscopic endonasal approach (EESS) or combined external with EESS approach. Retrospective study done at SDMCMS&H, between 2007 and 2019, on patients undergoing surgical excision of mucocele. Results described as mean, median, mode, percentages. Twenty-one patients were included, with male to female ratio (0.75:1), mean age (42.95 years). Commonest presentation were facial pain (42.85%),visual symptoms (28.57%), headache (23.80%). Signs included, proptosis (52.38%), facial deformity (23.80%). Imaging: showed frontal mucoceles (42.85%), fronto-ethmoid (38.09%), ethmoid (14.28%), sphenoid (4.76%). Orbital extension in 42.85%, sinusitis (33.33%), skull base erosion (23.80%). EESS or combined external and EESS approach (61.90%, 38.09% respectively) were performed. Complete excision of mucocele wall done. Recurrence in two cases(average-2.5 years),revision surgery performed without further recurrences. Either EESS or combined external and EESS approach used based on site and extension of mucoceles. Complete peeling of mucocele wall without obliteration of the sinus cavity was the mode of surgical management in all cases. Keywords Mucoceles Paranasal Sinus Frontal
Introduction Mucoceles are benign pseudo cystic, slow-growing, expansile lesions in the paranasal sinuses that develop at the expense of sinus cavities and contain aseptic mucus, often lined by an epithelium, which is either pseudostratified columnar and less often squamous cell lining with inflammatory cell infiltrate [1–3]. It is the most common benign expansile lesion of the paranasal sinuses [4]. It is often seen in adults and is rare in pediatric population, and necessitates a workup for systemic disease like cystic fibrosis, if present [5]. The most common locations are the frontal and ethmoid sinus. Maxillary and sphenoid sinus are less often affected [6]. The diagnosis is based on the history, physical examination and radiological findings. Computed Tomography (CT) is the preferred imaging modality for mucoceles [7]. Clinical symptoms of sinusitis specifically, headache or facial pain is often seen. If intracranial or orbital extension has occurred, patients may report visual disturbances or exhibit proptosis [8]. The present study describes the clinical profile, intraoperative experience and outcomes of a series of patients who underwent surgical treatment for paranasal sinus mucoceles at the otorhinolaryngology service of our hospital. This article emphasizes the importance of complete excision of mucocele as against simple marsupialization.
Materials and Methods & Aniketh Pandurangi [email protected] 1
Department of Otorhinolaryngology, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India
This wa
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