Paranasal sinus mucoceles: Considerations in five clinical cases

Authors

  • Luís Almeida Dores Interno do Internato Complementar em Otorrinolaringologia do Hospital de Santa Maria, Portugal
  • Marta Canas Marques Assistente Hospitalar de Otorrinolaringologia do Hospital de Santa Maria, Portugal
  • Sandra Agostinho Interna do Internato Complementar em Otorrinolaringologia do Hospital de Santa Maria, Portugal
  • Marco Alveirinho Simão Assistente de Otorrinolaringologia da Faculdade de Medicina de Lisboa; Assistente Hospitalar de Otorrinolaringologia do Hospital de Santa Maria, Portugal
  • Alberto Santos Assistente Hospitalar Graduado de Otorrinolaringologia do Hospital de Santa Maria, Portugal
  • Óscar Dias Professor Associado de Otorrinolaringologia da Faculdade de Medicina de Lisboa; Chefe de Serviço de Otorrinolaringologia do Hospital de Santa Maria, Portugal
  • Mário Andrea Professor Catedrático de Otorrinolaringologia da Faculdade de Medicina de Lisboa Director de Serviço de Otorrinolaringologia do Hospital de Santa Maria, Portugal

DOI:

https://doi.org/10.34631/sporl.92

Keywords:

mucoceles, paranasal sinus, endoscopic surgery

Abstract

Paranasal sinus mucoceles are pseudocysts, benign and
expansive lesions, which may arise in several ways. The
diagnosis, sometimes suggested by the clinical presentation,
is made using imaging techniques, including CT scan and, in
injuries that occur in specific locations, by MRI.
The use of microscopy and nasal endoscopy allows a more
conservative and minimally invasive approach, respecting the
drainage and architecture of the sinuses, with less morbidity
for patients.
This paper presents five cases: two mucoceles of the frontoethmoid
complex, one of the ethmoid, one of sphenoid, and another one of the maxillary sinus. It is a review of clinical, imaging and surgical features.

References

McMains KC, Kountakis SE. Fronto-orbital-ethmoid mucoceles. Operative techniques in otolaryngology. 2006; 17: 19-23.

Fu CH, Chang KP, Lee TJ. The difference in anatomical and invasive characteristics between primary and secondary paranasal sinus mucoceles. Otolaryngol Head Neck Surg. 2007; 136: 621-625.

Lee KC, Lee NH. Comparison of clinical characteristics between primary and secondary paranasal mucoceles. Yonsei Med J. 2010; 51:735-739.

Serrano E, Klossek SM, Percodani J, Yardeni E, Dufour X. Surgical management of paranasal sinus mucoceles: a long-term study of 60 cases. Otolaryngol Head Neck Surge. 2004; 131: 133-140.

Marks SC, Latoni JD, Mathog RH. Mucoceles of the maxilary sinus. Otolaryngol Head Neck Surg. 1997; 117: 18-21.

Busaba NY, Salman SD. Maxillary sinus mucoceles: clinical presentation and long-term results of endoscopic surgical treatment. Laryngoscope. 1999; 109: 1446-1449.

Kennedy DW, Josephson JS, Zinreich J, Mattox DE, et al. Endoscopic sinus surgery for mucoceles: a viable alternative. Laryngoscope. 1989;99: 885-895.

Sautter NB, Citardi MJ, Perry J, Batra PS. Paranasal sinus mucoceles with skull-base and/or orbital erosion: is the endocopic approach sufficient? Otolaryngol Head Neck Surg. 2008; 139: 570-574.

Har-El G. Endoscopic management of 108 sinus mucoceles. Laryngoscope. 2001; 111: 2131-2134.

Har-EL G, Balwally NA, Lucente FE. Sinus mucoceles: is marsupialization enough? Otolaryngol Head Neck Surg. 1997; 117: 633-640.

Lund VJ. Fronto-ethmoidal mucoceles: a histopathological analysis. J Laryngol Otol. 1991; 105: 921-923.

Takasaka T, Onodera A, Sato M. Electron microscopic studies of the postoperative maxillary cyst. J Otolaryngol Soc Aust. 1979; 4: 331-334.

Lund VJ, Harvey, Meghji S, Harris M. Prostaglandin synthesis in the pathogenesis of fronto-ethmoidal mucoceles. Acta Otolaryngol. 1988; 106: 145-51.

How to Cite

Dores, L. A., Marques, M. C., Agostinho, S., Simão, M. A., Santos, A., Dias, Óscar, & Andrea, M. (2012). Paranasal sinus mucoceles: Considerations in five clinical cases. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 50(2), 147–152. https://doi.org/10.34631/sporl.92

Issue

Section

Review