Age no bar! Marsupialize frontal sinus mucopyocele to save the vision: A case report

Abstract

Title: Age No Bar! Marsupialize Frontal Sinus Mucopyocele To Save The Vision: A Case Report. Introduction: Mucopyocele of the paranasal sinus is an accumulation of mucoid secretion covered by desquamated sinus epithelium with pus in the sinus with distension of its walls. It is an expansile, destructive lesion and can cause bone erosion along with the displacement of surrounding structures. Case Presentation: A 83 year old female patient came to the ENT Out Patient Department with chief complaints of right eye diminished vision, proptosis and swelling over the right side forehead since one year which resulted in obvious cosmetic deformity. On examination of face, there was a boggy swelling approximately 5 * 5 cm over right side forehead extending laterally to the lateral orbital wall with proptosis. Patient’s preoperative vision was 2.5 meters finger counting for the right eye and normal for the left. Non Contrast Computed Tomography of the Nose and Paranasal Sinuses revealed right sided frontal sinus mucocele extending to the right orbit. Magnetic Resonance Imaging of brain with orbit was done to confirm the diagnosis. Transnasal Endoscopic marsupialization of the mucocele was done under General Anaesthesia. There was a drastic improvement in right eye vision immediately from finger counting 2.5 meters to 6/12 with complete reduction of the boggy swelling and proptosis. Conclusion: We should always attempt endoscopic marsupialization of frontal sinus mucocele which is compromising vision irrespective of age to give back the patient his/her vision, confidence and happiness.