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Journal of Korean Neurosurgical Society 1988;17(5): 1093-1102.
Surgical Experience of Mucocele: 4 Cases.
Y R Chang, S W Chung, C S Kim, B C Jean, Y G Park, T H Yoo, T S Chun, H D Lee
1Department of Neurosurgery, Kosin Medical College & Gospel Hospital, Pusan, Korea.
2Department of Otolaryngology, Kosin Medical College & Gospel Hospital, Pusan, Korea.
Mucocele is collection of mucus enclosed in a sac of lining sinus epithelium within an air sinus resulting from an obstruction to the outlet of the cavity which may cause an expansion of the bony walls. The condition commonly occurs in the frontal or anterior ethmoidal sinuses but, rare in sphenoid sinuses. Mucocele of the sinus is an uncommon cause of unilateral proptosis which may produce considerable difficulty in diagnosis. Ocular disturbances and headache are among the characteristic complaints and patients often first consult an ophthalmologist or otolaryngologist. The authors experienced four cases of paranasal sinuse mucocele. There were 2 posterior ethmoid sinus mucoceles, 1 giant frontal sinus mucocele and 1 sphenoid sinus mucocele. These cases presented with exophthalmos, proptosis, headache or frontal mass. All cases removed by surgical procedures and good result was obstained.
Key Words: Mucocele; Paranasal sinus; Exophthalmos; Sublabial transseptal approach; Transantral transethmoidal approach
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