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Published on: August 15, 2025
[Frontoethmoidal mucocele. Diagnosis and treatment in 7 cases]
V Pino Rivero1, G Pardo Romero, A González Palomino
1Complejo Hospitalario Infanta Cristina, Badajoz. vicentepinorivero@terra.com
Abstract:
Mucocele has its origin by blockage of the paranasal sinuses ostium with mucinous retention inside, sometimes purulent (mucopiocele), and progressive slimming with gradual destruction on the bone walls. We report an own review of 7 patients with diagnosis of frontoethmoidal mucocele, 4 men and 3 women, 50-years average. The oftalmologic clinical symptoms (diplopia, exoftalmos and the eyeball movement restrictiv) were the most frequentjointly to cefalea. The kind of surgery that we have performed, in 6 of 7 cases, was FES with marsupialization (4 times) and external ethmoidectomy (2). We have performes a literature review at this respect.
Insights
Frontoethmoidal mucoceles, often caused by blocked sinuses, can lead to vision problems and headaches. Surgical interventions like endoscopic sinus surgery (FES) with marsupialization or ethmoidectomy are effective treatments for these sinonasal cysts.
Area of Science:
- Otolaryngology
- Ophthalmology
- Neurosurgery
Background:
- Mucoceles arise from paranasal sinus ostium blockage, causing mucin retention and bone erosion.
- Frontoethmoidal mucoceles are a specific type of sinonasal cyst.
- These cysts can present with significant ophthalmic and neurological symptoms.
Purpose of the Study:
- To review the clinical presentation and surgical management of frontoethmoidal mucoceles.
- To analyze the outcomes of surgical interventions in a cohort of patients.
- To contribute to the understanding of this condition through a literature review.
Main Methods:
- A retrospective review of 7 patients diagnosed with frontoethmoidal mucocele.
- Surgical procedures included Functional Endoscopic Sinus Surgery (FES) with marsupialization and external ethmoidectomy.
- A comprehensive literature review was conducted.
Main Results:
- The study included 4 men and 3 women with an average age of 50 years.
- Ophthalmologic symptoms such as diplopia, exophthalmos, and restricted eye movement, along with headaches, were most frequent.
- Surgical treatment was performed in 6 out of 7 cases.
Conclusions:
- Frontoethmoidal mucoceles present with characteristic ophthalmic and neurological symptoms.
- Surgical management, including FES and ethmoidectomy, is crucial for treating these lesions.
- Further research and case reviews are valuable for refining treatment strategies.
