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Paediatric frontoethmoidal mucoceles causing epiphora: SALDO update study (SUP) - paper VI.
Nandini Bothra1, Mohammad Javed Ali1
1Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India.
Orbit (Amsterdam, Netherlands)
|January 7, 2026
Summary
Paediatric frontoethmoidal mucoceles can cause epiphora and subtle signs, often first seen by ophthalmologists. Endoscopic endonasal marsupialization effectively resolves epiphora in most cases.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Pediatric Surgery
Background:
- Frontoethmoidal mucoceles are rare in children.
- These mucoceles can present with subtle signs, including epiphora, and may be initially evaluated by ophthalmologists.
Purpose of the Study:
- To describe the clinical presentation, management, and outcomes of pediatric frontoethmoidal mucoceles causing epiphora.
- To highlight the importance of early identification and management of these rare conditions.
Main Methods:
- A retrospective, interventional study of six pediatric patients with paranasal sinus mucoceles presenting with epiphora.
- Data collected included demographics, ophthalmic evaluations, lacrimal irrigation, endoscopic assessment, and CT scans.
- All patients underwent endoscopic endonasal marsupialization.
Main Results:
- Six pediatric patients (mean age 12.83 years) with frontoethmoidal mucoceles causing epiphora were treated.
- Five patients experienced relief from epiphora and reduction in associated signs after marsupialization.
- One patient with traumatic secondary acquired nasolacrimal duct obstruction required additional dacryocystorhinostomy.
Conclusions:
- Pediatric sinus mucoceles are rare and can present subtly, often to ophthalmologists.
- Vigilance and prompt diagnosis are crucial for effective early management.
- Endoscopic endonasal marsupialization is an effective treatment for pediatric frontoethmoidal mucoceles causing epiphora.
