Giant Maxillary Antral Mucocele Consequent To Allergic Fungal Sinusitis

Area of Science:

• Otolaryngology
• Surgical Innovation

Background:

• Maxillary antral mucoceles are rare complications of chronic sinus inflammation.
• Causes include infection, trauma, and allergic fungal rhinosinusitis (AFRS).
• Obstructed sinus outflow leads to mucocele formation.

Purpose of the Study:

• To evaluate the efficacy of endoscopic surgery for maxillary antral mucoceles.
• To compare endoscopic approaches with the Caldwell-Luc procedure for giant mucoceles.
• To highlight the benefits of endoscopic techniques in reducing complications.

Main Methods:

• Review of cases involving maxillary antral mucoceles.
• Preference for functional endonasal endoscopic surgery (FEESS).
• Surgical evacuation of mucoceles using an endoscopic approach.

Main Results:

• Endoscopic evacuation is the preferred and resolutive treatment for most mucoceles.
• Endoscopic approach provides adequate surgical fields even for giant mucoceles.
• Minimizes complication rates and sequelae compared to traditional methods.

Conclusions:

• Endoscopic surgery is highly effective for maxillary antral mucoceles.
• The Caldwell-Luc approach should be avoided for giant mucoceles, especially with complex involvement.
• Endoscopic techniques offer a safer and more effective surgical option, reducing complications.