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Recurrent bilateral fronto-ethmoidal mucocoele with intracranial extension: a case report
T O Odebode1, F E Ologe, S Segun-Busari
1Neurosurgery Unit, Department of Surgery, College of Medicine, University of Ilorin, Nigeria. odebodetodr@yahoo.com
West African Journal of Medicine
|November 10, 2005
Summary
This case report details a rare instance of bilateral fronto-ethmoidal mucocoeles causing significant orbital and intracranial complications. Surgical intervention was required due to chronic symptoms and treatment failure.
Area of Science:
- Otolaryngology
- Neurosurgery
- Ophthalmology
Background:
- Mucocoeles of the paranasal sinuses are uncommon, with bilateral involvement and extension into the anterior cranial fossa being particularly rare.
- Frontal and ethmoidal sinuses are most frequently affected by mucocoeles.
Observation:
- A 66-year-old woman presented with a 20-year history of progressive bilateral proptosis and supraorbital swellings, including left eye blindness.
- Imaging revealed large bilateral fronto-ethmoidal mucocoeles with orbital roof erosion and intracranial extension causing mass effect.
Findings:
- The patient underwent bicoronal craniotomy and bilateral fronto-ethmoidectomy for direct drainage of the mucocoeles.
- The surgical procedure addressed the extensive sinus pathology and its associated complications.
Implications:
- This case highlights potential severe complications of chronic sinus mucocoeles, including orbital and intracranial invasion.
- It underscores the importance of timely diagnosis and effective management to prevent treatment failure and adverse outcomes.
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