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. 2019 Jan;23(1):88-91.
doi: 10.1055/s-0038-1668126. Epub 2018 Oct 24.

Mucocele: Clinical Characteristics and Outcomes in 46 Operated Patients

Diogo Barreto Plantier  1 , Deusdedit Brandão Neto  1 , Fabio de Rezende Pinna  1 , Richard Louis Voegels  1
Affiliations

Mucocele: Clinical Characteristics and Outcomes in 46 Operated Patients

Diogo Barreto Plantier et al. Int Arch Otorhinolaryngol. 2019 Jan.

Abstract

Introduction Paranasal sinus mucocele is a benign, expansive lesion associated with paranasal sinus obstruction. It affects mostly adults, and is most common in the frontal and ethmoidal sinuses. Objective To evaluate outcomes in patients undergoing surgical treatment for paranasal sinus mucocele. Methods Retrospective review of medical records of patients treated for paranasal sinus mucocele at the ENT department of a tertiary care hospital between 2005 and 2016. Results Forty-six patients underwent surgical treatment of paranasal sinus mucocele. The mean age was 50.1 years, and 56.5% were male. The most prevalent symptom was pain, and the frontal sinus was most commonly affected. The vast majority of patients (89.1%) underwent endoscopic sinus marsupialization; 10.9% required combined open and endoscopic access. Seven recurrences occurred. Conclusion Sinus mucocele is an expansive disease that primarily affects the frontal sinus of adult patients. In most cases, endoscopic surgery is an effective treatment modality.

Keywords: chronic rhinosinusitis; endoscopic sinus surgery; marsupialization; mucocele; paranasal sinus diseases.

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Figures

Fig. 1
Fig. 1
( A ) Axial CT image of the paranasal sinus showing an extensive, homogeneous mucocele in the left frontal sinus, with apparent bone defect of the posterior wall. ( B ) MRI showing extensive T2 hyperintensities indicative of mucocele in the left frontal sinus, with associated extension to the ipsilateral orbit.
Fig. 2
Fig. 2
Coronal CT image of the paranasal sinuses with bone window. A large frontoethmoidal mucocele is visible on the right side, and a concha bullosa mucocele on the left.
See this image and copyright information in PMC

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