Chronic Sinusitis with Frontal Mucocele: A Case Report

Abstract

Purpose: To describe a type IIIa frontal mucocele in a case of diffuse nasal polyposis. To discuss the clinical presentation, diagnostic and treatment modalities. Study Design: A case report including radiological, histopathological analysis and review of literature. Methods: A case report from a tertiary care centre. Histopathologic and radiological details are reviewed. Results: This case report presents a 59-year-old male who came to us with fronal headaches and nose blocks of 6 months’ duration. Clinical examination revealed bilateral nasal polyposis. Plain CT scan of paranasal sinuses revealed a circumscribed lesion with erosion of inner table of left frontal sinus amidst pan sinus haziness. We addressed the condition by combined FESS with eyebrow incision frontal craniotomy. Histopathological examination revealed a mucocele. Conclusion: In combined approach, eyebrow incision minimal frontal craniotomy remains the optimal option for visualisation of entire sinus, especially in laterally placed frontal mucoceles; while FESS helps in maintaining physiological drainage and proper follow-up.


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Deenadayal, D. , Kumar, B. and Sameeri, K. (2014) Chronic Sinusitis with Frontal Mucocele: A Case Report. International Journal of Otolaryngology and Head & Neck Surgery, 3, 140-142. doi: 10.4236/ijohns.2014.33026.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Gavioli, C., Grasso, D.L., Carinci, F., Amoroso, C. and Pastore, A. (2002) Review Mucoceles of the Frontal Sinus. Clinical and Therapeutical Considerations. Minerva Stomatologica, 51, 385-390.
[2] Har-El, G. (2001) Transnasal Endoscopic Management of Frontal Mucoceles. Otolaryngologic Clinics of North America, 34, 243-251.
http://dx.doi.org/10.1016/S0030-6665(05)70309-1

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