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An unusual presentation of a giant frontal sinus mucocele manifesting with a subcutaneous forehead mass
C S H Tan1, V K Y Yong, L W Yip
1The Eye Institute, and Department of Ophthalmology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433. colintan_eye@yahoo.com.sg
Introduction:
To describe the unusual manifestation of a giant frontal sinus mucocele.
Clinical Picture:
A 33-year-old female presented with blurring of vision in the left eye, periorbital swelling and a painless forehead mass. There was proptosis, partial ptosis, and an elongated, soft, subcutaneous mass over the left side of the forehead. CT scan showed a mass arising from the frontal sinus with both intraorbital and intracranial extension.
Treatment:
Surgical excision of the mass confirmed the diagnosis of a mucocele.
Outcome:
Postoperatively, the patient was asymptomatic.
Conclusions:
A subcutaneous soft-tissue mass may be the presenting complaint of a frontal mucocele. Careful examination of the surrounding skin may suggest the diagnosis of sinus-related disease and thus direct appropriate investigations.
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