Publication details

Mukokela celni dutiny penetrujici do predni jamy lebni

Title in English Mucocele of Frontal Sinus Penetrating into Anterior Cranial Fossa
Authors

SALZMAN Richard HEMZA Jan KOSTRICA Rom NOVÁK Zdenek

Year of publication 2004
Type Article in Periodical
Magazine / Source Otorinolaryngologie a foniatrie
MU Faculty or unit

Faculty of Medicine

Citation
Field ORL, ophthalmology, stomatology
Keywords mucocele; frontal sinus; aggressive growth; complications of nasal polyposis; Ravens subfrontal approach.
Description The authors present a patient case with giant frontal sinus mucocele with intracranial spread after numerous operations for nasal polyposis. Patient suffered no symptoms since last operation 7 years ago. A 2-month progressive bony prominence above upper eyelid and decreased nasal patency appeared to be nasal polyposis and frontal sinus mucocele eroding posterior and inferior sinus wall according to anemnesis and further clinical investigation. The intracranial growth manifested no neurological deficit. The expansive process caused laterocaudal eyeball dislocation. The mucocele was resected and giant nasal polyps were extracted from Ravens subfrontal approach in cooperation with neurosurgeon. The postoperative course was uneventful. The cosmetic result 3-month after surgery was more than satisfactory. A follow-up MRI and endoscopy of nasal cavity revealed no sign of recurrence. In conclusion authors stress advantages of Ravens approach. Furthermore, indication criteria for different surgical approaches in frontal sinus mucocele treatment are discussed.

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