Related Experiment Video
Updated: Aug 12, 2026
09:53
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Endoscopic Management of a Rare Pediatric Fronto-Ethmoidal Mucocele With Orbital Involvement: Navigating Surgical
Sushil Raj Shrestha1, Sajjad Ahmed Khan1, Shiva Bhusan Pandit1
1Department of Otorhinolaryngology Birat Medical College Teaching Hospital Morang Nepal.
Clinical Case Reports
|August 11, 2026
Summary
Fronto-ethmoidal mucoceles can cause orbital proptosis and restricted movement in children. Endoscopic surgery effectively resolved symptoms and imaging findings in an 11-year-old patient.
Area of Science:
- Otolaryngology
- Ophthalmology
- Pediatric Neurosurgery
Background:
- Paranasal mucoceles are benign cystic lesions.
- They can cause significant bone erosion and extend into adjacent structures like the orbit and intracranial space.
- Orbital involvement can lead to proptosis and restricted eye movement.
Purpose of the Study:
- To report a case of fronto-ethmoidal mucocele with orbital extension in a pediatric patient.
- To describe the diagnostic imaging findings.
- To evaluate the efficacy of endoscopic surgical management.
Main Methods:
- A case presentation of an 11-year-old male with right orbital proptosis.
- Diagnostic imaging included Computed Tomography (CT) and Magnetic Resonance Imaging (MRI).
- Treatment involved endoscopic marsupialization, drainage, and orbital decompression.
Main Results:
- Imaging confirmed a fronto-ethmoidal mucocele involving the orbit.
- The patient presented with proptosis and restricted ocular motility.
- Complete clinical and radiological resolution was achieved postoperatively.
Conclusions:
- Fronto-ethmoidal mucoceles are a rare but significant cause of orbital symptoms in children.
- Endoscopic marsupialization with orbital decompression is an effective treatment modality.
- Early diagnosis and surgical intervention lead to favorable outcomes.