ENDOSCOPIC MANAGEMENT OF FRONTO-ETHMOIDAL SINUS MUCOCELE

Abstract

Objective:

The aim of this study was to present the efficacy of endoscopic sinus surgery for management of fronto-ethmoidal sinus mucocele.

Material and Methods:

A prospective, longitudinal, observational study of seven patients with clinical and radiological evidence of mucocele of fronto-ethmoidal area   from June 2008 to June 2009 and who underwent endoscopic wide marsupialization of mucocele cavity with or without fronto-ethmiodectomy were included in the study.

Results:

Duration of symptoms ranged from 25 days to 1 year. Most common symptoms were swelling in supero-nasal, medial canthal region, infero-lateral eye displacement. Majority of patients had soft to hard swelling in periorbital region and non axial proptosis. One patient had lid ptosis and two patients still complained of diplopia after surgery. Postoperative endoscopy revealed widely opened sinus cavity with epithelisation of mucosa without sign of recurrence in all the cases.

Conclusion:

Endoscopic marsupialization with drainage through nasosinusal approach proved to be safe and efficient procedure in therapeutic approach of frontoethmoidal mucocele.

Keywords: Endoscopic, Frontoethmoidal, Marsupialization, Mucocele