Frontal Sinus Pyocele Causing Nonaxial Proptosis

A mucocele or pyocele of a paranasal sinus is a cystic lesion with accumulation of mucus or pus within the sinus walls and is capable of expansion. The frontal sinus is most commonly involved, whereas ethmoidal, sphenoid, and maxillary mucoceles are rare. Floor of the frontal sinus is shared with th...

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Bibliographic Details
Main Authors: Chandana Chakraborti, Sheuli Kumar, Nabanita Barua, Mac Malswamtlunga
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Medical Journal of Dr. D.Y. Patil Vidyapeeth
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Online Access:http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2018;volume=11;issue=1;spage=63;epage=65;aulast=Chakraborti
Description
Summary:A mucocele or pyocele of a paranasal sinus is a cystic lesion with accumulation of mucus or pus within the sinus walls and is capable of expansion. The frontal sinus is most commonly involved, whereas ethmoidal, sphenoid, and maxillary mucoceles are rare. Floor of the frontal sinus is shared with the superior orbital wall which explains the early displacement of orbit in enlarging frontal mucoceles or pyoceles. Here, we report a case of frontal pyocele in a 62-year-old male patient who presented to us with nonaxial proptosis. The case was managed by external surgical approach successfully. Possible ocular manifestations of mucoceles or pyoceles and the diagnostic imaging techniques used are discussed. We stress that a multidisciplinary approach involving the ophthalmologists, otolaryngologists, and radiologists is essential for prompt diagnosis and management to avoid unwanted complications.
ISSN:2589-8302
2589-8310