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Destructive Frontonasal Mucocele Following Facial Trauma and Surgery.
Warner Moore1, Jason E Cohn, Paige Bundrick
1Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic Reconstructive Surgery, Ochsner LSU Health, Shreveport, LA.
The Journal of Craniofacial Surgery
|August 13, 2021
Summary
Frontonasal mucoceles can cause significant nasal structure erosion. This case highlights successful total nasal reconstruction using bone, cartilage, and fascia after Lynch excision for a complex frontonasal mucocele.
Area of Science:
- Otorhinolaryngology
- Plastic Surgery
- Head and Neck Surgery
Background:
- Mucoceles are benign cystic lesions that can cause significant bone erosion and complications.
- Frontonasal mucoceles are rare and can present with extensive destruction of nasal structures.
- Limited literature exists on the surgical management of extensive frontonasal mucoceles.
Observation:
- A 24-year-old female presented with a large frontonasal mucocele.
- The mucocele extended from the frontal sinus to the nasal dorsum, eroding nasal bones and upper lateral cartilages.
- The nasal mass caused significant destruction of multiple nasal structures.
Findings:
- Surgical management involved Lynch excision followed by total nasal reconstruction.
- Reconstruction utilized bone, septal cartilage, and temporalis fascia for structural support.
- A posterior nasal septal flap was incorporated to ensure blood supply and maintain nasal integrity.
Implications:
- This case demonstrates a successful approach to managing extensive frontonasal mucoceles.
- The described surgical technique can restore nasal structure, cosmesis, and function.
- Effective management is crucial to prevent recurrence and severe complications.
