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Giant Frontal Sinus Mucocele With Headache and Vision Changes: Case Report
Sujan Ghimire1, Ritika Bhatta2, Yagya Raj Sharma1
1Maharajgunj Medical Campus, Institute of Medicine Kathmandu Nepal.
Clinical Case Reports
|March 10, 2026
Summary
Giant frontal sinus mucoceles require prompt surgical intervention to prevent severe complications like vision loss. Open craniotomy may be preferred over endoscopic surgery for extensive cases to ensure complete removal of debris and prevent recurrence.
Area of Science:
- Neurosurgery
- Otolaryngology
- Medical Imaging
Background:
- Giant frontal sinus mucoceles arise from blocked sinuses.
- Complications include headaches, vision loss, and brain compression.
- Early diagnosis and surgical debridement are crucial.
Purpose of the Study:
- To evaluate surgical approaches for giant frontal sinus mucoceles.
- To compare open craniotomy with endoscopic marsupialization.
- To identify optimal management for extensive bony necrosis and intracranial extension.
Main Methods:
- Review of cases with giant frontal sinus mucoceles.
- Analysis of surgical interventions including craniotomy and endoscopic marsupialization.
- Assessment of outcomes related to complication prevention and recurrence.
Main Results:
- Giant mucoceles can cause significant bony necrosis and intracranial extension.
- Open craniotomy allows for complete debridement in complex cases.
- Endoscopic approaches may be insufficient for extensive disease.
Conclusions:
- Prompt surgical intervention is vital for giant frontal sinus mucoceles.
- Open craniotomy is recommended for extensive bony necrosis and intracranial extension.
- Aggressive debridement is necessary to prevent recurrence and intracranial complications.
