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Ethmoidal mucocoeles in children
1St. James's Hospital, Dublin, Ireland.
Insights
Ethmoidal mucocoeles are rare in children. Computed tomography (CT) scans are the preferred diagnostic method, with external exenteration proving effective for treatment.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Medical Imaging
Background:
- Ethmoidal mucocoeles are uncommon pediatric conditions.
- This study investigates the diagnosis, treatment, and etiology of ethmoidal mucocoeles in children.
Observation:
- Five pediatric cases of ethmoidal mucocoeles were analyzed.
- Computed tomography (CT) scanning was identified as the optimal imaging modality.
- Plain sinus X-rays showed poor correlation with disease presence.
Findings:
- External approach exenteration was a satisfactory surgical treatment.
- Congenital abnormalities causing drainage obstruction were implicated in two cases.
- Atopy (allergic conditions) was a significant history in four cases, suggesting allergy as a potential cause.
Implications:
- CT scanning is crucial for accurate diagnosis of pediatric ethmoidal mucocoeles.
- External exenteration is a viable surgical option.
- Congenital factors and atopy are potential underlying etiologies requiring further investigation.
Abstract:
Children presenting with ethmoidal mucocoeles are rare. Five children are presented with such findings, and the diagnosis, treatment and possible aetiology discussed. C.T. scanning was found to be the investigation of choice, while plain sinus X-rays correlated poorly with the presence of disease. Exenteration through an external approach was found to be satisfactory. In two cases drainage obstruction due to congenital abnormality was thought to be the underlying cause, while in four cases there was a strong history of atopy, indicating allergy as a possible reason for mucocoele formation.