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Frontal sinus mucopyelocele with orbital and intracranial extension

Authors Gupta S, Goyal R, Shahi M

Published 1 June 2010 Volume 2010:2 Pages 73—75


Review by Single anonymous peer review

Peer reviewer comments 2

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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