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Isolated extra-sinus subcutaneous mucocele: A case report
INTRODUCTION: Paranasal sinus mucoceles are epithelialized cystic masses formed through the accumulation of sterile mucus. Mucoceles are expansile lesions, and their symptoms change according to their extension into the surrounding structures: anteriorly to the subcutaneous tissue, laterally to the...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10372322/ https://www.ncbi.nlm.nih.gov/pubmed/37454551 http://dx.doi.org/10.1016/j.ijscr.2023.108488 |
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author | Alouda, Nada Alkhiary, Hattan Alsaleh, Saad |
author_facet | Alouda, Nada Alkhiary, Hattan Alsaleh, Saad |
author_sort | Alouda, Nada |
collection | PubMed |
description | INTRODUCTION: Paranasal sinus mucoceles are epithelialized cystic masses formed through the accumulation of sterile mucus. Mucoceles are expansile lesions, and their symptoms change according to their extension into the surrounding structures: anteriorly to the subcutaneous tissue, laterally to the orbit, or posteriorly to the cranium. Herein, we report the case of a pediatric patient with an isolated subcutaneous mucocele with no sinus connection. PRESENTATION OF CASE: Physical examination revealed a non-tender fluctuating round mass approximately 4 cm in diameter in the right supraorbital region. Computed tomography and magnetic resonance imaging findings suggested a mucocele, and the diagnosis was confirmed via histopathological examinations postoperatively. The patient underwent a combined surgical approach that included an endoscopic transseptal approach to the frontal sinus with a right sub-brow incision and drain placement. The right frontal sinus was opened, and the mucocele was marsupialized. At the 3-month follow-up visit, the frontal sinus neo-ostium appeared patent on endoscopic examination, and the frontal sinuses were clear on imaging. DISCUSSION: The optimal treatment for frontal mucoceles is marsupialization and adequate sinus drainage. As the patient had an isolated subcutaneous extra-sinus mucocele above the orbit, a combined approach was used to ensure thorough removal of the lesion to reduce the recurrence rate. CONCLUSION: This report emphasizes the importance of using a combined approach for the removal of lesions and limiting the potential risk of recurrence in similar cases. |
format | Online Article Text |
id | pubmed-10372322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-103723222023-07-28 Isolated extra-sinus subcutaneous mucocele: A case report Alouda, Nada Alkhiary, Hattan Alsaleh, Saad Int J Surg Case Rep Case Report INTRODUCTION: Paranasal sinus mucoceles are epithelialized cystic masses formed through the accumulation of sterile mucus. Mucoceles are expansile lesions, and their symptoms change according to their extension into the surrounding structures: anteriorly to the subcutaneous tissue, laterally to the orbit, or posteriorly to the cranium. Herein, we report the case of a pediatric patient with an isolated subcutaneous mucocele with no sinus connection. PRESENTATION OF CASE: Physical examination revealed a non-tender fluctuating round mass approximately 4 cm in diameter in the right supraorbital region. Computed tomography and magnetic resonance imaging findings suggested a mucocele, and the diagnosis was confirmed via histopathological examinations postoperatively. The patient underwent a combined surgical approach that included an endoscopic transseptal approach to the frontal sinus with a right sub-brow incision and drain placement. The right frontal sinus was opened, and the mucocele was marsupialized. At the 3-month follow-up visit, the frontal sinus neo-ostium appeared patent on endoscopic examination, and the frontal sinuses were clear on imaging. DISCUSSION: The optimal treatment for frontal mucoceles is marsupialization and adequate sinus drainage. As the patient had an isolated subcutaneous extra-sinus mucocele above the orbit, a combined approach was used to ensure thorough removal of the lesion to reduce the recurrence rate. CONCLUSION: This report emphasizes the importance of using a combined approach for the removal of lesions and limiting the potential risk of recurrence in similar cases. Elsevier 2023-07-13 /pmc/articles/PMC10372322/ /pubmed/37454551 http://dx.doi.org/10.1016/j.ijscr.2023.108488 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Alouda, Nada Alkhiary, Hattan Alsaleh, Saad Isolated extra-sinus subcutaneous mucocele: A case report |
title | Isolated extra-sinus subcutaneous mucocele: A case report |
title_full | Isolated extra-sinus subcutaneous mucocele: A case report |
title_fullStr | Isolated extra-sinus subcutaneous mucocele: A case report |
title_full_unstemmed | Isolated extra-sinus subcutaneous mucocele: A case report |
title_short | Isolated extra-sinus subcutaneous mucocele: A case report |
title_sort | isolated extra-sinus subcutaneous mucocele: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10372322/ https://www.ncbi.nlm.nih.gov/pubmed/37454551 http://dx.doi.org/10.1016/j.ijscr.2023.108488 |
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