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[Giant mucocele maxillary sinus: About a case]
S K Timbo1, K Doumbia-Singare1, B Guindo1
1Service d'ORL et de chirurgie cervico-faciale du CHU Gabriel TOURE BP 267 Bamako. Mali.
Le Mali Medical
|July 28, 2018
Summary
Giant maxillary sinus mucoceles are rare but can cause facial deformity. Surgical removal via Caldwell-Luc procedure effectively treated a large right maxillary sinus mucocele, resolving symptoms.
Area of Science:
- Otolaryngology
- Maxillofacial Surgery
- Medical Imaging
Context:
- Maxillary sinus mucoceles are uncommon cystic lesions.
- They can expand beyond the sinus, causing facial and orbital issues.
- Delayed diagnosis can lead to significant complications.
Purpose:
- To report a case of a giant maxillary sinus mucocele.
- To illustrate diagnostic methods and treatment outcomes.
- To discuss the efficacy of the Caldwell-Luc procedure for extensive mucoceles.
Summary:
- A 48-year-old male presented with a large right maxillary sinus mucocele causing facial swelling, hypoesthesia, and nasal obstruction.
- CT scan confirmed a cystic mass bulging into the nasal cavity with bone thinning.
- Surgical excision using the Caldwell-Luc approach successfully removed the mucocele and relieved symptoms.
Impact:
- Highlights the potential for significant facial deformity from maxillary sinus mucoceles.
- Demonstrates the effectiveness of the Caldwell-Luc procedure in managing large mucoceles, especially with delayed presentation.
- Emphasizes the importance of timely diagnosis and surgical intervention for maxillary sinus pathology.
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