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| 2010-22 |
| 22-1 |
ISSN (Print) 1013-9052
EISSN 1658-3558
P.O. Box 52500,
Riyadh 11563,
Kingdom of Saudi Arabia
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966-1-467-7328 |
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933-1-467-7308 / 966-1-467-7534 |
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saudidj@ksu.edu.sa |
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Paranasal sinus mucocoele: Clinical features and treatment of 13 cases in a maxillofacial unit
Gbenga Arole,* BDS, FDSRCS, FMCDS,
Most paranasal sinus mucocoeles, particularly frontal sinus mucocoele with intra-cranial and intra-orbital extensions are often reported by otolaryngologists and neuro- surgeons and only very few cases are referred to the maxillofacial surgeons. We report 13 cases of paranasal sinus mucocoele treated at the Maxillofacial Unit at Ikeja, Nigeria over a period of 25 years. Our experience is based on the clinical features and surgical treatment. In order of frequency of occurrence, frontal sinus mucocoele (5) is the most common, followed by fronto-ethmoidal (3) frontal with intra-cranial extension (2), ethmoidal (2), and sphenoidal (1). The mean age of the patients seen is 47.08 years.
Transfacial approaches were used in all the patients who did show evidence of the disease in the intra-cranial region. Of all the incisions carried out, 2 were bicoronal, 5 paralateral and 6 were through upper eyebrow approaches. No recurrence was noticed in all the cases after a follow-up period of 6 to 12 months. All the patients were later lost to follow-up probably for a variety of reasons. We therefore concluded that although paranasal sinus mucocoele is benign in pathology, It should be followed up for a longer period for evidence of recurrence, particularly, when the lining may be incompletely removed because of poor accessibility at surgery.
Saudi Dental Journal 2000;12(3):167-170.
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