Management of paranasal sinus mucoceles (fronto-ethmoid mucocele)

Abstract

Paranasal sinus mucoceles are quite rare and benign but expansile masses. Most commonly frontal and ethmoid sinuses are involved, maxillary and sphenoid sinues are involved in descending order of frequency. Early recognition and timely management of Paranasal sinus mucocele is very important as it can cause local, orbital and cranial complications which led to our prospective study. This was prospective study of five patients at tertiary care at BMC Sagar from May 2021 to April 2022, after our ethics committee approval. Proper history was taken. Otorhinolaryngological and ophthalmological examination was done. Computed tomography was preferred mode of imaging. All cases were managed surgically through endoscopically. Our study was compromised of five patients. Out of them two were females and three were mens. Mean age of patient was 54.2. In our study most common symptom was periorbital swelling and displacement of eyeball. Most common sign was proptosis. Most common sinus involved were frontoethmoid. Paranasal sinus mucoceles usually occur at 3rd to 7th decade of age group with almost equal sex ratio. Computed tomography is preferred mode of imaging. Endoscopic endonasal surgery is currently most commonly used surgical method for this. Paranasal sinus mucocele has good outcome if treated timely. Early recognition and management is very important as it can cause local, orbital and cranial complications.