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Giant mucocele originating from the middle concha in a 5-year-old child: a case report
Gaffar Aslan1, Mehmet Birol Ugur, Nuray Başsüllü
1Department of ENT, Faculty of Medicine, Gazi University, Ankara, Turkey. mehmetbirolugur@gmail.com.
Insights
Pediatric sinonasal mucoceles are rare but can cause nasal obstruction. Endoscopic sinus surgery is an effective treatment for these mucus-filled sacs in children.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Mucoceles are rare, mucus-filled sacs developing in paranasal sinuses due to obstructed drainage.
- Symptoms typically involve nasal obstruction or compression of adjacent structures.
Purpose of the Study:
- To report a rare case of a pediatric sinonasal mucocele.
- To highlight the diagnostic and therapeutic approach for this condition in children.
Main Methods:
- Case report of a 5-year-old boy with a 3-year history of nasal obstruction.
- Diagnosis confirmed via computed tomography (CT) scan revealing a middle concha mucocele.
- Surgical removal performed using endoscopic sinus surgery.
Main Results:
- A well-defined soft tissue lesion, consistent with a middle concha mucocele, was identified.
- Endoscopic sinus surgery successfully removed the mass.
Conclusions:
- Sinonasal mucocele should be considered in the differential diagnosis of pediatric nasal obstruction.
- CT and MRI are valuable for diagnosis.
- Endoscopic nasal surgery is a successful treatment modality.
Introduction:
Mucoceles are mucus-filled, epithelial-lined sacs that slowly develop in the paranasal sinuses when sinus or concha bullosa drainage is obstructed by inflammatory processes, trauma, or prior surgery. They are extremely rare in children. Symptoms usually arise from the nasal obstruction or compression of neighboring structures.
Case Presentation:
This case report describes a 5-year-old Turkish boy with a 3-year history of nasal obstruction. A computed tomography scan showed a well-defined soft tissue density lesion, seemingly originating in the region of the middle concha and was suggestive of a middle concha mucocele. The mass was removed by endoscopic sinus surgery.
Conclusions:
In the case of a child presenting with nasal obstruction, mucocele should be remembered in the differential diagnosis of intranasal tumors. Computed tomography and magnetic resonance imaging are helpful in making the diagnosis and endoscopic nasal surgery has proven successful in the treatment.
