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Maxillary sinus mucocele with orbital complications
Annali Italiani Di Chirurgia
|April 18, 2018
Summary
Maxillary sinus mucoceles can cause eye problems like diplopia. Endoscopic sinus surgery effectively treats these mucoceles, restoring sinus and ocular function without bone reconstruction.
Area of Science:
- Otolaryngology
- Ophthalmology
Background:
- Maxillary sinus mucoceles are rare, often resulting from secondary causes like surgery or inflammation.
- They involve mucous secretion within the sinus, lined by respiratory epithelium.
Observation:
- A 74-year-old patient with a history of nasal surgery developed diplopia and eye discomfort.
- CT revealed a mucocele in the left maxillary sinus with orbital floor erosion.
- Isolated left inferior rectus palsy was noted on oculistic examination.
Findings:
- Endoscopic sinus surgery, including middle meatal antrostomy and mucocele removal, was performed.
- Post-operative follow-up showed a regular maxillary cavity and normal ocular motility.
- The study suggests bone reconstruction is unnecessary if maxillary mucosa integrity is maintained.
Implications:
- Endoscopic sinus surgery is an effective treatment for maxillary sinus mucoceles causing ocular symptoms.
- Antrostomy and drainage can restore both paranasal sinus and ocular function.
- Preserving maxillary upper wall mucosa integrity is key, potentially avoiding complex bone reconstruction.
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