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Isolated extra-sinus subcutaneous mucocele: A case report.
Nada Alouda1, Hattan Alkhiary2, Saad Alsaleh3
1Department of Otolaryngology-Head & Neck Surgery, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
International Journal of Surgery Case Reports
|July 16, 2023
Summary
A pediatric patient with an isolated subcutaneous mucocele, a rare type of paranasal sinus mucocele, was successfully treated. A combined surgical approach ensured complete lesion removal and reduced recurrence risk.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Medical Imaging
Background:
- Paranasal sinus mucoceles are epithelialized cystic masses resulting from sterile mucus accumulation.
- These expansile lesions can affect surrounding structures, including the orbit and cranium.
- This case presents a rare pediatric instance of an isolated subcutaneous mucocele disconnected from the paranasal sinuses.
Observation:
- A 4 cm non-tender, fluctuating mass was noted in the right supraorbital region of a pediatric patient.
- Imaging studies (CT and MRI) indicated a mucocele, confirmed by postoperative histopathology.
- The patient presented with an isolated subcutaneous mucocele without direct sinus connection.
Findings:
- A combined surgical approach, including endoscopic sinus surgery and a sub-brow incision, was employed.
- The frontal sinus mucocele was marsupialized, ensuring adequate sinus drainage.
- Post-surgical follow-up confirmed a patent frontal sinus neo-ostium and clear sinuses on imaging.
Implications:
- Marsupialization and adequate sinus drainage are optimal treatments for frontal mucoceles.
- A combined surgical approach is crucial for isolated, extra-sinus mucoceles to minimize recurrence.
- This case highlights the importance of tailored surgical strategies for diverse mucocele presentations.
