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Bilateral ethmoidal mucocele in cystic fibrosis: report of a case
D C Thomé1, R L Voegels, R A Cataldo de la Cortina
1Department of Otolaryngology of the University of São Paulo Medical School, Alameda Itú 483 apto 172, 01421-000, São Paulo, Brazil. dthome@dialdata.com.br
Insights
This study details a rare case of bilateral ethmoidal mucoceles in a 10-month-old infant with cystic fibrosis, a condition previously unreported in such young patients. The findings highlight early sinonasal complications in pediatric cystic fibrosis.
Area of Science:
- Otolaryngology
- Pediatrics
- Genetics
Background:
- Cystic Fibrosis (CF) is a genetic disorder affecting multiple organs, including the sinonasal tract.
- Sinonasal disease is a common complication in CF patients, often leading to mucoceles.
- Previous literature reports on pediatric CF patients with sinonasal mucoceles are scarce.
Observation:
- A 10-month-old male infant presented with bilateral ethmoidal mucoceles.
- This presentation is unique due to the patient's young age and bilateral involvement.
- The patient was diagnosed with cystic fibrosis.
Findings:
- This case represents the youngest pediatric patient reported with bilateral ethmoidal mucoceles associated with cystic fibrosis.
- The patient's presentation differs from previously reported cases, which involved older children and unilateral mucoceles.
- This highlights the potential for early and bilateral sinonasal complications in CF.
Implications:
- Early recognition of sinonasal mucoceles in infants with CF is crucial for timely intervention.
- This case expands the understanding of sinonasal manifestations in pediatric cystic fibrosis.
- Further research is warranted to explore the trajectory of sinonasal disease in very young CF patients.
Abstract:
The purpose of this study is to report a rare and interesting case of a 10-month-old boy who presented a bilateral ethmoidal mucocele associated with cystic fibrosis and to discuss, according to the literature, the sinonasal involvement in this disease. Only nine pediatric patients with both disorders have been reported previously in literature, and all of these cases were older than 1 year 4 months and presented with a unilateral mucocele.