Management of an extensive frontal pyocoele using an external approach: a case report

Pyocoeles of the paranasal sinuses are pus-filled cavities seen in the sinuses and develop from the infection of the mucocoeles. Pyocoeles most commonly form in the frontal sinus. Endoscopic Sinus Surgery is currently the mainstay of the treatment. We present the case of an 85-year-old female who...

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Main Authors: Syed Ahmed Shahzaeem Hussain, Syed Ahmed Shahzain Hussain, Syed Muzahir Hussain
Format: Article
Language:English
Published: Pakistan Medical Association 2022-08-01
Series:Journal of the Pakistan Medical Association
Online Access:https://www.ojs.jpma.org.pk/index.php/public_html/article/view/4335
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author Syed Ahmed Shahzaeem Hussain
Syed Ahmed Shahzain Hussain
Syed Muzahir Hussain
author_facet Syed Ahmed Shahzaeem Hussain
Syed Ahmed Shahzain Hussain
Syed Muzahir Hussain
author_sort Syed Ahmed Shahzaeem Hussain
collection DOAJ
description Pyocoeles of the paranasal sinuses are pus-filled cavities seen in the sinuses and develop from the infection of the mucocoeles. Pyocoeles most commonly form in the frontal sinus. Endoscopic Sinus Surgery is currently the mainstay of the treatment. We present the case of an 85-year-old female who presented to the ENT OPD of Jinnah Hospital/AIMC, Lahore, in October 2017 with complaints of progressive symptoms of intractable left frontal pain, double vision, and an associated swelling below the medial half of the left eyebrow. A CT scan was done and a diagnosis of extensive frontal pyocele was made. She was treated successfully with an external approach and remained without any complications till 13-month follow-up after surgery; exceptional cosmetic results were achieved. We wish to bring attention to the possibility of an external approach being used as a primary intervention, if deemed appropriate.
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spelling doaj.art-bbc2738e2b054ba594b3a891e65cd5ff2023-05-25T04:21:52ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822022-08-0172910.47391/JPMA.4335Management of an extensive frontal pyocoele using an external approach: a case reportSyed Ahmed Shahzaeem Hussain0Syed Ahmed Shahzain Hussain1Syed Muzahir Hussain2Rural Health Centre, Lilla, Jhelum, PakistanDepartment of Otorhinolaryngology, Shaikh Zayed Hospital, Lahore, PakistanDepartment of Otorhinolaryngology, The University of Lahore Teaching Hospital, Lahore, Pakistan Pyocoeles of the paranasal sinuses are pus-filled cavities seen in the sinuses and develop from the infection of the mucocoeles. Pyocoeles most commonly form in the frontal sinus. Endoscopic Sinus Surgery is currently the mainstay of the treatment. We present the case of an 85-year-old female who presented to the ENT OPD of Jinnah Hospital/AIMC, Lahore, in October 2017 with complaints of progressive symptoms of intractable left frontal pain, double vision, and an associated swelling below the medial half of the left eyebrow. A CT scan was done and a diagnosis of extensive frontal pyocele was made. She was treated successfully with an external approach and remained without any complications till 13-month follow-up after surgery; exceptional cosmetic results were achieved. We wish to bring attention to the possibility of an external approach being used as a primary intervention, if deemed appropriate. https://www.ojs.jpma.org.pk/index.php/public_html/article/view/4335
spellingShingle Syed Ahmed Shahzaeem Hussain
Syed Ahmed Shahzain Hussain
Syed Muzahir Hussain
Management of an extensive frontal pyocoele using an external approach: a case report
Journal of the Pakistan Medical Association
title Management of an extensive frontal pyocoele using an external approach: a case report
title_full Management of an extensive frontal pyocoele using an external approach: a case report
title_fullStr Management of an extensive frontal pyocoele using an external approach: a case report
title_full_unstemmed Management of an extensive frontal pyocoele using an external approach: a case report
title_short Management of an extensive frontal pyocoele using an external approach: a case report
title_sort management of an extensive frontal pyocoele using an external approach a case report
url https://www.ojs.jpma.org.pk/index.php/public_html/article/view/4335
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