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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Maxillary mucocele with orbital floor remodelling
Tahrina Salam1, Maryam Zamani, Jane Olver
1Moorfields Eye Hospital, London EC1V 2PD, UK.
Case Reports in Ophthalmological Medicine
|August 28, 2012
Summary
A large maxillary mucocele caused an orbital mass in an elderly man. Surgical drainage resolved ophthalmic signs, and CT scans confirmed orbital floor bone remodeling, highlighting the importance of multidisciplinary care.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Radiology
Background:
- Orbital masses can present with varied etiologies.
- Maxillary mucoceles are benign cysts that can expand and affect adjacent structures.
- Erosion of the orbital floor by a mucocele can lead to significant ophthalmic complications.
Purpose of the Study:
- To report a case of a maxillary mucocele causing an orbital mass and orbital floor erosion.
- To illustrate the successful surgical management and postoperative recovery.
- To emphasize the role of imaging in assessing bony changes.
Main Methods:
- Computed Tomography (CT) scan for initial diagnosis and assessment of bony erosion.
- Surgical drainage of the maxillary mucocele.
- Conservative postoperative care.
- Serial CT scans for monitoring bony remodeling.
Main Results:
- A large maxillary mucocele was identified eroding the orbital floor.
- Surgical drainage led to normalization of all ophthalmic signs.
- Postoperative CT scans demonstrated significant bony remodeling of the orbital floor.
Conclusions:
- Maxillary mucoceles can present as orbital masses with bony erosion.
- Multidisciplinary assessment involving ENT and Ophthalmic surgeons is crucial.
- Serial CT imaging is valuable for demonstrating orbital floor reconstruction after mucocele management.
