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Updated: May 20, 2026

Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
[Pediatric mucoceles: clinical aspects and therapeutic approaches]
H Chahed1, N Romdhane, R Zainine
1Service ORL et chirurgie maxillo-faciale de la Rabta, CHU La Rabta, 1007 Bab-Saadoun, Tunis, Tunisie. houda.chahed@gmail.com
Introduction:
Paranasal sinuses mucoceles are extremely rare in children and adolescents. The objective of this study was to assess their clinical presentations and the contribution of endoscopic surgery in their management.
Material And Methods:
we retrospectively reviewed 11 children with paranasal sinus mucoceles who were managed during a period of 15 years (1995-2009).
Results:
The mean age was 11.8 years with a sex ratio of 2.66. One patient had a history of nasal polyposis surgery. The symptomatology was dominated by ophthalmological complains. The ethmoïd sinus was the main localization. Orbital extension was found in eight cases, pyomucocele in one case. The surgical management was endoscopic (nine cases), and by an external approach (two cases). Two cases of recurrence were assessed. The mean follow-up was 22.3 months.
Discussion:
Paranasal sinuses mucocele is exceptional in children. Cystic fibrosis is the main etiologic factor. The symptoms depend on the location and size of the mucocele. The treatment is surgical and most authors prefer the endoscopic approach.
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