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Mucocoele and mucopyocoele of the frontal sinus penetrating to the cranial cavity and the orbit
- Katedra i Oddział Kliniczny Neurochirurgii w Sosnowcu, Śląski Uniwersytet Medyczny w Katowicach
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Abstract
Mucocoele of the paranasal sinuses falls within the scope of interest for neurosurgery when erosion of the sinus wall and the osseous structures of the skull base develops and the lesion extends towards the cranial cavity, the orbit, the cavernous sinus or the sella turcica. The paper aims to present the method of treatment of extensive mucocoele which is used in our clinic.
Material and methodsWe treated 7 patients (2 women and 5 men; age range: 27–68 years). Mucopyocoele was diagnosed in two cases, and mucocoele in the other five. In 5 cases, extension of the mucocoele to the cranial cavity and the orbit or to the ethmoid sinus and the orbit was observed. In the remaining 2 cases, mucopyocoele extended to the ethmoid sinus, the sphenoid and maxillary sinuses, cranial cavity and the orbit. The purpose of surgery was to remove the mucocoele or the mucopyocoele and to prevent recurrence.
ResultsThe postoperative course in all 7 patients was uneventful. All symptoms gradually receded. No relapse was observed in any patient during a follow-up period that varied from 10 months to 8 years; nor did incidents of inflammation of collateral sinuses occur.
ConclusionsThe treatment of mucocoele or mucopyocoele of the frontal sinus penetrating to the cranial cavity and the orbit consists of the following stages: cranialization of the frontal sinus, complete resection of the mucosa, tight closing of the frontal-nasal duct, and separating the air space of the opened collateral nasal sinuses from the cranial cavity with a large pedicled periosteal flap.
Abstract
Mucocoele of the paranasal sinuses falls within the scope of interest for neurosurgery when erosion of the sinus wall and the osseous structures of the skull base develops and the lesion extends towards the cranial cavity, the orbit, the cavernous sinus or the sella turcica. The paper aims to present the method of treatment of extensive mucocoele which is used in our clinic.
Material and methodsWe treated 7 patients (2 women and 5 men; age range: 27–68 years). Mucopyocoele was diagnosed in two cases, and mucocoele in the other five. In 5 cases, extension of the mucocoele to the cranial cavity and the orbit or to the ethmoid sinus and the orbit was observed. In the remaining 2 cases, mucopyocoele extended to the ethmoid sinus, the sphenoid and maxillary sinuses, cranial cavity and the orbit. The purpose of surgery was to remove the mucocoele or the mucopyocoele and to prevent recurrence.
ResultsThe postoperative course in all 7 patients was uneventful. All symptoms gradually receded. No relapse was observed in any patient during a follow-up period that varied from 10 months to 8 years; nor did incidents of inflammation of collateral sinuses occur.
ConclusionsThe treatment of mucocoele or mucopyocoele of the frontal sinus penetrating to the cranial cavity and the orbit consists of the following stages: cranialization of the frontal sinus, complete resection of the mucosa, tight closing of the frontal-nasal duct, and separating the air space of the opened collateral nasal sinuses from the cranial cavity with a large pedicled periosteal flap.
Keywords
mucocoele, mucopyocoele, frontal sinus, periosteal flap
Title
Mucocoele and mucopyocoele of the frontal sinus penetrating to the cranial cavity and the orbit
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
342-350
Page views
347
Article views/downloads
955
DOI
10.1016/S0028-3843(14)60105-5
Bibliographic record
Neurol Neurochir Pol 2011;45(4):342-350.
Keywords
mucocoele
mucopyocoele
frontal sinus
periosteal flap
Authors
Mariusz Maliszewski
Piotr ładziński
Wojciech Kaspera
Krzysztof Majchrzak