CASE REPORT: FRONTAL SINUS MUCOCELE WITH INTRACRANIAL EXTENSION
Main Article Content
Abstract
Introduction: Frontal sinus mucoceles are pseudocysts, benign lesions, usually slow-growing and capable of invading surrounding organs. They often appear after untreated chronic sinusitis, a history of previous sinus surgery, or due to trauma.
Objective: Description of clinical features, diagnosis and treatment of intracranial invasion of left frontal sinus mucocele by endoscopic sinus surgery
Case report: A 60-year-old patient was admitted to the hospital because of left frontal-orbital headache with contrast-enhanced computed tomography (CT) scan showing intracranial invasion of the left frontal sinus mucocele. The patient was consulted by a neurosurgeon, and then agreed to be treated with endoscopic surgery.
Results: After endoscopic sinus surgery to widen the frontal sinus (Draf IIb), the patient returned for a check-up with a well-healed surgical wound and reduced symptoms of headache in the forehead and left eye socket.
Conclusion: Frontal sinus mucocele needs to be detected and operated on early to avoid serious complications such as invasion of the skull and orbit. Computed tomography or magnetic resonance imaging contributes to the diagnosis and orientation for endoscopic or external surgery, or a combination of both.
Keywords
Keywords: Frontal sinus mucocele, intracranial extension, endoscopic sinus surgery (ESS), Draf IIb.
Article Details
References
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