Frontal sinus mucocele with orbital extension drained via a combined upper lid skin crease and endoscopic approach

This case report discusses the ophthalmic complications of frontal sinus mucoceles and describes the favorable long‐term surgical outcomes of a combined endoscopic and upper‐lid skin crease drainage approach carried out jointly with otorhinolaryngology. A 47‐year‐old single mother presented to eye c...

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Autores principales: Clarke, Kirsty Michelle, Wilde, Caroline, Walker, Abi, Little, Sarah, Osborne, Sarah F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388840/
https://www.ncbi.nlm.nih.gov/pubmed/35999979
http://dx.doi.org/10.1002/ccr3.6206
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author Clarke, Kirsty Michelle
Wilde, Caroline
Walker, Abi
Little, Sarah
Osborne, Sarah F.
author_facet Clarke, Kirsty Michelle
Wilde, Caroline
Walker, Abi
Little, Sarah
Osborne, Sarah F.
author_sort Clarke, Kirsty Michelle
collection PubMed
description This case report discusses the ophthalmic complications of frontal sinus mucoceles and describes the favorable long‐term surgical outcomes of a combined endoscopic and upper‐lid skin crease drainage approach carried out jointly with otorhinolaryngology. A 47‐year‐old single mother presented to eye casualty with markedly swollen eyelids and visual acuity of 6/6 in the left eye, no perception of light in the right. Ophthalmic examination revealed right‐sided hypoglobus and proptosis with exposure keratopathy inferiorly. There was complete ophthalmoplegia in the right eye and a hemorrhagic optic disc visible on fundoscopy. CT orbit with contrast confirmed a diagnosis of giant frontal mucocele with orbital extension. The patient underwent mucocele drainage via a modified anterior orbitotomy approach and FESS (Functional Endoscopic Sinus Surgery) drainage performed jointly with otorhinolaryngology. Two weeks post‐operatively her proptosis was resolving and by three months she had regained full extraocular motility. As expected, vision was not restored in the right eye. At one year, the patient's upper lid skin crease scar was completely buried in the eyelid's natural contour, and repeat CT scanning confirmed no re‐stenosis or mucocele recurrence. This case demonstrates, that a multidisciplinary approach to far‐lateral frontal sinus mucoceles with orbital extension and ophthalmic complications which combines an upper lid skin crease incision with FESS drainage, allows adequate access to the frontal sinus while preserving cosmesis.
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spelling pubmed-93888402022-08-22 Frontal sinus mucocele with orbital extension drained via a combined upper lid skin crease and endoscopic approach Clarke, Kirsty Michelle Wilde, Caroline Walker, Abi Little, Sarah Osborne, Sarah F. Clin Case Rep Case Report This case report discusses the ophthalmic complications of frontal sinus mucoceles and describes the favorable long‐term surgical outcomes of a combined endoscopic and upper‐lid skin crease drainage approach carried out jointly with otorhinolaryngology. A 47‐year‐old single mother presented to eye casualty with markedly swollen eyelids and visual acuity of 6/6 in the left eye, no perception of light in the right. Ophthalmic examination revealed right‐sided hypoglobus and proptosis with exposure keratopathy inferiorly. There was complete ophthalmoplegia in the right eye and a hemorrhagic optic disc visible on fundoscopy. CT orbit with contrast confirmed a diagnosis of giant frontal mucocele with orbital extension. The patient underwent mucocele drainage via a modified anterior orbitotomy approach and FESS (Functional Endoscopic Sinus Surgery) drainage performed jointly with otorhinolaryngology. Two weeks post‐operatively her proptosis was resolving and by three months she had regained full extraocular motility. As expected, vision was not restored in the right eye. At one year, the patient's upper lid skin crease scar was completely buried in the eyelid's natural contour, and repeat CT scanning confirmed no re‐stenosis or mucocele recurrence. This case demonstrates, that a multidisciplinary approach to far‐lateral frontal sinus mucoceles with orbital extension and ophthalmic complications which combines an upper lid skin crease incision with FESS drainage, allows adequate access to the frontal sinus while preserving cosmesis. John Wiley and Sons Inc. 2022-08-18 /pmc/articles/PMC9388840/ /pubmed/35999979 http://dx.doi.org/10.1002/ccr3.6206 Text en © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Report
Clarke, Kirsty Michelle
Wilde, Caroline
Walker, Abi
Little, Sarah
Osborne, Sarah F.
Frontal sinus mucocele with orbital extension drained via a combined upper lid skin crease and endoscopic approach
title Frontal sinus mucocele with orbital extension drained via a combined upper lid skin crease and endoscopic approach
title_full Frontal sinus mucocele with orbital extension drained via a combined upper lid skin crease and endoscopic approach
title_fullStr Frontal sinus mucocele with orbital extension drained via a combined upper lid skin crease and endoscopic approach
title_full_unstemmed Frontal sinus mucocele with orbital extension drained via a combined upper lid skin crease and endoscopic approach
title_short Frontal sinus mucocele with orbital extension drained via a combined upper lid skin crease and endoscopic approach
title_sort frontal sinus mucocele with orbital extension drained via a combined upper lid skin crease and endoscopic approach
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388840/
https://www.ncbi.nlm.nih.gov/pubmed/35999979
http://dx.doi.org/10.1002/ccr3.6206
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