open access

Vol 45, No 4 (2011)
ARTYKUŁ ORYGINALNY
Submitted: 2010-08-14
Get Citation

Mucocoele and mucopyocoele of the frontal sinus penetrating to the cranial cavity and the orbit

Mariusz Maliszewski, Piotr ładziński, Wojciech Kaspera, Krzysztof Majchrzak
DOI: 10.1016/S0028-3843(14)60105-5
·
Neurol Neurochir Pol 2011;45(4):342-350.

open access

Vol 45, No 4 (2011)
ARTYKUŁ ORYGINALNY
Submitted: 2010-08-14

Abstract

Background and purpose

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 methods

We 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.

Results

The 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.

Conclusions

The 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

Background and purpose

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 methods

We 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.

Results

The 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.

Conclusions

The 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.

Get Citation

Keywords

mucocoele, mucopyocoele, frontal sinus, periosteal flap

About this article
Title

Mucocoele and mucopyocoele of the frontal sinus penetrating to the cranial cavity and the orbit

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 45, No 4 (2011)

Pages

342-350

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

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl