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Frontal Mucopyocoele Presenting With Recurrent Periorbital Cellulitis: A Delayed Diagnosis.

Javier Ash1, Noor Omar2, Victoria Perkins1

  • 1Otolaryngology, Southend University Hospital, Southend-on-Sea, GBR.

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Summary

Recurrent periorbital cellulitis in a young male was linked to an undiagnosed frontal sinus mucopyocoele. Surgical intervention resolved the infection, highlighting the need to consider sinonasal pathology in such cases.

Keywords:
acute sinusitisfrontal mucocelemucopyocoeleorbital cellulitisorbital proptosis

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Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Infectious Disease

Background:

  • Periorbital cellulitis, an infection around the eye, has diverse causes requiring thorough evaluation.
  • Timely diagnosis and treatment are essential for effective management of periorbital cellulitis.

Observation:

  • A 30-year-old male experienced recurrent periorbital cellulitis treated with antibiotics without identifying the root cause.
  • Investigations revealed a large, untreated frontal sinus mucopyocoele as the underlying issue.

Findings:

  • Functional endoscopic sinus surgery successfully removed the mucopyocoele and restored frontal sinus drainage.
  • The patient's symptoms resolved post-surgery, with no recurrence.

Implications:

  • This case underscores the importance of considering underlying sinonasal pathology in recurrent periorbital cellulitis.
  • Clinicians must be vigilant for conditions like mucopyocoele presenting as periorbital swelling and erythema.