Paranasal sinus mucoceles in a tertiary center, Southwestern Nigeria: A 10-year review of ophthalmic features, management, and outcome

Abstract

Background and Objective: Paranasal sinus mucoceles result from obstruction of the ostium of the affected paranasal sinus which becomes filled with secretions from the mucosal lining. We report the clinical features, management, and outcome of treatment in patients with paranasal sinus mucoceles in a tertiary health facility. Patients and Methods: Retrospective chart review of all patients with paranasal sinus mucoceles was conducted. Results: A total of 12 cases of paranasal sinus mucoceles were managed during the study period with equal gender distribution and mean age of 37.7 ± 5 years. The mean duration of symptoms before presentation was 2.5 ± 2.2 years, and all the patients presented with nonaxial proptosis, with 7 (58.3%) patients having orbital extension of the mucocele. The frontal and ethmoidal sinuses were most affected and frontoethmoidectomy was performed in 5 (41.7%) patients, while this was combined with medial orbitotomy in 5 (41.7%) patients and orbital exenteration in 2 (16.6%) patients. Conclusion: Paranasal sinus mucoceles are relatively uncommon in our region but still associated with significant ocular morbidity.