Frontal sinus mucopyelocele with orbital and intracranial extension
Saroj Gupta1, Rashmi Goyal2, Mradul Shahi3
1Department of Ophthalmology, 2Department of Otolaryngology, 3Neurosurgery Department, People’s Hospital, People’s College of Medical Science and Research Centre, Bhopal, India
Abstract: This case report discusses a 52-year-old lady with nonaxial proptosis, diplopia and diminution of vision due to a mass lesion in the upper medial quadrant of the orbit. A computed tomography scan revealed a well-defined lesion in the frontal sinus area with orbital and intracranial extension. On exploring it was found to be a mucopyelocele of the frontal sinus. Surgical excision was done by an external approach. The symptoms and signs resolved completely within a week. Frontal sinus mucopyeloceles are benign and curable, and their early recognition and management is of paramount importance, because they can expand and cause orbital as well as intracranial complications.
Keywords: mucocele, mucopyelocele, paranasal sinuses, visual loss, proptosis
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