Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Eyeball deviation by orbital mucocele after midface sinus injury

  • Oh, Se Young (Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Choi, Ji Seon (Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lim, Jin Soo (Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Min Cheol (Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2019.10.14
  • Accepted : 2019.12.06
  • Published : 2020.02.20
Download PDF
⟨ Previous Next ⟩

Abstract

A mucocele is an epithelium-lined, mucus-filled cavity in the paranasal sinuses. Mucocele may develop due to scarring and obstruction of the sinus ostium caused by midface sinus trauma, such as orbital bone fracture or endoscopic sinus surgery. The authors report two cases of orbital mucocele as complications following midface sinus injury (endoscopic sinus surgery in one case, and orbital fracture repair in the other). In both cases, imaging studies showed a large orbital mucocele accompanied by bony erosion and orbital wall remodeling, compressing the ocular muscle. Using an open approach, the lesion was excised and marsupialized. The symptoms resolved, and the postoperative eyeball position was normal. Orbital mucocele may cause serious complications such as ocular symptoms, orbital cellulitis, osteomyelitis, and the formation of an abscess with the potential to invade the brain. Therefore, surgeons should consider the possibility of mucocele as a late complication of surgery and initiate an immediate work-up and surgical treatment if needed.

Keywords

References

  1. Koudstaal MJ, van der Wal KG, Bijvoet HW, Vincent AJ, Poublon RM. Post-trauma mucocele formation in the frontal sinus; a rationale of follow-up. Int J Oral Maxillofac Surg 2004;33:751-4. https://doi.org/10.1016/j.ijom.2004.01.019
  2. Kamoshima Y, Terasaka S, Nakamaru Y, Takagi D, Fukuda S, Houkin K. Giant frontal mucocele occurring 32 years after frontal bone fracture: a case report. Case Rep Neurol 2012;4:34-7. https://doi.org/10.1159/000336326
  3. Park J, Kim J, Choi J, Kim H. Mucocele after orbital fracture repair masquerading as optic neuritis. J Craniofac Surg 2016;27:1041-3. https://doi.org/10.1097/SCS.0000000000002605
  4. Mahmoud SM, Liao HT. Endoscopic-assisted removal of a rare mucocele complicating from alloplastic medial orbital fracture reconstruction. J Craniofac Surg 2017;28:967-9. https://doi.org/10.1097/SCS.0000000000003454
  5. Su Y, Sun J, Fan X. Epithelial cysts associated with alloplastic implants after repair of orbital fractures: a systematic review and four new cases. Br J Oral Maxillofac Surg 2016;54:658-63. https://doi.org/10.1016/j.bjoms.2016.03.028
  6. Nkenke E, Amann K, Maier T, Benz M, Kramer M, Haeusler G, et al. Untreated 'blow-in' fracture of the orbital floor causing a mucocele: report of an unusual late complication. J Craniomaxillofac Surg 2005;33:255-9. https://doi.org/10.1016/j.jcms.2005.04.001
  7. Shah A, Meyer DR, Parnes S. Management of frontoethmoidal mucoceles with orbital extension: is primary orbital reconstruction necessary? Ophthalmic Plast Reconstr Surg 2007;23:267-71. https://doi.org/10.1097/IOP.0b013e318073d19a
  8. Benkhatar H, Khettab I, Sultanik P, Laccourreye O, Bonfils P. Mucocele development after endoscopic sinus surgery for nasal polyposis: a long-term analysis. Ear Nose Throat J 2018;97:284-94. https://doi.org/10.1177/014556131809700918
  9. Herndon M, McMains KC, Kountakis SE. Presentation and management of extensive fronto-orbital-ethmoid mucoceles. Am J Otolaryngol 2007;28:145-7. https://doi.org/10.1016/j.amjoto.2006.07.010
  10. Busaba NY, Salman SD. Ethmoid mucocele as a late complication of endoscopic ethmoidectomy. Otolaryngol Head Neck Surg 2003;128:517-22. https://doi.org/10.1016/S0194-5998(03)00097-4
  11. Lund VJ, Rolfe ME. Ophthalmic considerations in fronto-ethmoidal mucocoeles. J Laryngol Otol 1989;103:667-9. https://doi.org/10.1017/S0022215100109673
  12. Weitzel EK, Hollier LH, Calzada G, Manolidis S. Single stage management of complex fronto-orbital mucoceles. J Craniofac Surg 2002;13:739-45. https://doi.org/10.1097/00001665-200211000-00004
  13. Malloy KA. Fronto-ethmoid sinus mucocele: a case report. Optometry 2006;77:450-8. https://doi.org/10.1016/j.optm.2006.04.120

Cited by

  1. Removal of intraosseous hemangioma in frontal bone under direct vision through a small incision vol.22, pp.1, 2020, https://doi.org/10.7181/acfs.2020.00661