A Loculated Pyocele of Maxillary Sinus—A Rare Case Report

Ramanathan Thirunavukkarasu^*, Ganesh Kumar Balasubramaniam, Ramesh Babu Kalyanasundaram, Paramaguru Rajesh Shanmugam

Department of ENT, Thanjavur Medical College & Hospital, Thanjavur, India.

DOI: 10.4236/ijohns.2014.35047                

Abstract

Pyocele of maxillary sinus occurs unusually, when its mucocele content gets secondarily infected. Most of the pyocele occupies the frontal and anterior ethmoid sinus involving the frontal-ethmoidal complex expanding into the orbit leading to ocular disorders. Maxillary sinus presentation is rare, and our patient had a well defined loculated pyocele in her right maxillary sinus that we suspected with radiological images and was confirmed by needle aspiration under endoscopic guidance to the pyocele sac. Here we would like to describe more in detail about the nature of the mucopyocele in paranasal sinuses, its presentation and various surgical modalities of treating the pyocele.

Keywords

Loculated Pyocele, Maxillary Sinus, Mucocele, Endoscopic Marsupialization

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	De, S.K. (1996) A Case of Muco-Pyocele of the Maxillary Antrum Simulating Malignant Neoplasm. Cambridge Journal of Laryngology & Otology, 80, 548-552.
[2]	Kshar, A., Abijeetpatil, Umarji, H. and Kadam, S. (2014) Mucopyocele of Maxillary Sinus. Dental Research Journal, 11, 119-123.
[3]	Miller, N.R., Newman, N.J., Walsh, F.B. and Hoyt, W.F. (2005) Mucoceles, Pyocele, Sinusitis. Walsh & Hoyt’s Clinical Neuroophthalmology, 3, 2611-2618.
[4]	Bhandary, S.K., Bhat, V.S. and Khana, R.A. (2013) Frontal Sinus Mucocele Following Facial Trauma Presenting a Pyocele. NUJHS, 3, 90-92. http://nitte.edu.in/journal/March2013/FSFATF.pdf
[5]	Almedia, W.L.C., Martin, L.R.L., Perazzo, P.S.L., Lima, M.R. and Rados, C. (2004) Maxillary Sinus Mucopyocele with Facial Asymmetry. International Archives of Otorhinolaryngology, 8. http://www.internationalarchivesent.org/additional/acervo_eng.asp?id=266
[6]	Bockmuhl, U., Kratzsch, B., Bendak, et al. (2005) Paranasal Sinus Mucoceles: Surgical Management & Longterm Results. NCBI, 84, 892-898.
[7]	Peric, A., Milojevic, M., Ljubicic, A. and Sotirovic, J. (2009) Endoscopic Middle Meatal Antrostomy in Treatment of Maxillary Sinus Mucoceles. VSP (Vojno Sanitetski Pregled), 66, 207-211.
[8]	Huang, C.C., Chen, C.W., Lee, T.J., et al. (2011) Transnasal Endoscopic Marsupialization of Post Operative Maxillary Mucocele: MMA vs IMA. European Archives of Oto-Rhino-Laryngology, 268, 1583-1587.
[9]	Peric, A., Milojevic, M. and Ljubicic, A. (2009) Endoscopic Middle Meatal Antrostomy in Treatment of Maxillary Sinus Mucoceles. Vojnosanitetski Pregled, 66, 207-211.
[10]	Venail, F., Marlier, F., Makeieff, M., et al. (2003) Combined Approach (Endoscopic & External) for the Treatment of Sinonasal Mucoceles. Revue de Laryngologie Otologie Rhinologie, 124, 165-170.