External approach to frontal sinus mucocele: A forgotten technique?
DOI:
https://doi.org/10.34631/sporl.827Keywords:
frontal sinus mucocele, external approachAbstract
Frontal sinus mucoceles are benign, slow growing lesions capable of local bone erosion. Currently, endoscopic sinus surgery is the mainstay for its treatment, however there are still indications for an external surgical approach. Here, we focus on the indications for an external surgical approach for frontal sinus mucocele treatment. To do so, we review the patients with frontal sinus mucocele treated by this approach in Hospital de Braga from 2012 to 2019.
A total of 10 patients were treated with an external approach. All patients had a mucocele with lateral location, 90% had erosion of the external frontal sinus wall and 70% had also erosion of the posterior frontal sinus wall without intracranial extension. During follow up, no recurrence was identified so far (6-87 months). Not all patients can be treated endoscopically exclusively. In selected cases, an external approach should be considered.
References
Santos PLD, Chihara LL, Alcalde LFA, Masalskas BF, Sant'Ana E, Faria PEP. Outcomes in Surgical Treatment of Mucocele in Frontal Sinus. J Craniofac Surg. 2017;28(7):1702-8. doi: 10.1097/SCS.0000000000003224.
Lima A, Moreira F, Miranda D, Silva D, Costa I, Dias L. Mucocelos fronto-etmoidais: Pearls & pitfalls na abordagem terapêutica. Revista Portuguesa De Otorrinolaringologia E Cirurgia De Cabeça E Pescoço. 2019;56(3):107-11. doi: 10.34631/sporl.724.
Sama A, McClelland L, Constable J. Frontal sinus mucocoeles: new algorithm for surgical management. Rhinology. 2014;52(3):267-75. doi: 10.4193/Rhin13.103.
Tsitouridis I, Michaelides M, Bintoudi A, Kyriakou V. Frontoethmoidal Mucoceles: CT and MRI Evaluation. Neuroradiol J. 2007;20(5):586-96.
doi: 10.1177/197140090702000519.
Kennedy DW, Josephson JS, Zinreich SJ, Mattox DE, Goldsmith MM. Endoscopic sinus surgery for mucoceles: a viable alternative.
Laryngoscope. 1989;99(9):885-95. doi: 10.1288/00005537-198909000-00002.
Rivera T, Rodriguez M, Pulido N, Garcia-Alcantara F, Sanz L. Current indications for the osteoplastic flap. Acta Otorrinolaringol Esp. 2016;67(1):33-9. doi: 10.1016/j.otorri.2015.01.006.
Draf W. Endonasal micro-endoscopic frontal sinus surgery: The fulda concept. Operative Techniques in Otolaryngology-Head and Neck Surgery. 1991;2(4):234-40. doi: 10.1016/S1043-1810(10)80087-9.
Courson AM, Stankiewicz JA, Lal D. Contemporary management of frontal sinus mucoceles: a meta-analysis. Laryngoscope. 2014;124(2):378-86. doi: 10.1002/lary.24309.
Saini AT, Govindaraj S. Evaluation and Decision Making in Frontal Sinus Surgery. Otolaryngol Clin North Am. 2016;49(4):911-25. doi: 10.1016/j.
otc.2016.03.015.
Herndon M, McMains KC, Kountakis SE. Presentation and management of extensive fronto-orbital-ethmoid mucoceles. Am J Otolaryngol. 2007;28(3):145-7. doi: 10.1016/j.amjoto.2006.07.010.
Lawson W, Ho Y. Open Frontal Sinus Surgery: A Lost Art. Otolaryngol Clin North Am. 2016;49(4):1067-89. doi: 10.1016/j.otc.2016.03.027.
Erdogan BA, Unlu N, Aydin S, Avci H. Frontal Mucocele Extended Orbita and Endoscopic Marsupialization Technique. J Craniofac Surg. 2018;29(4):e408-e9. doi: 10.1097/SCS.0000000000004411.
Casale M, Costantino A, Sabatino L, Cassano M, Moffa A, Rinaldi V. Image-guided endoscopic marsupialization technique for frontal sinus
mucocele with orbital extension: A case report. Int J Surg Case Rep. 2019;61:259-62. doi: 10.1016/j.ijscr.2019.07.069.
Stokken J, Wali E, Woodard T, Recinos PF, Sindwani R. Considerations in the management of giant frontal mucoceles with significant
intracranial extension: A systematic review. Am J Rhinol Allergy. 2016;30(4):301-5. doi: 10.2500/ajra.2016.30.4323.
Bequignon E, Blancal JP, Guichard JP, Ruellan K, Kania R, Sauvaget E, et al. The "frontal peak" sign: A potential new indication of open
approach in frontal sinus mucoceles with posterior table erosion. A retrospective chart review of thirty-seven patients. Clin Otolaryngol.
;43(1):325-8. doi: 10.1111/coa.12931.
Weber R, Draf W, Keerl R, Kahle G, Schinzel S, Thomann S, et al. Osteoplastic frontal sinus surgery with fat obliteration: technique and
long-term results using magnetic resonance imaging in 82 operations. Laryngoscope. 2000;110(6):1037-44. doi: 10.1097/00005537-200006000-00028.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
