FRONTOETMOIDALFRONTOETHMOIDAL MUCOCELE AFTER TRAUMA: A CASE REPORT
INTRODUCTION
Mucoceles are cysts of mucous content that affect the paranasal sinuses.
Currently, nasosinusal endoscopic marsupialization is considered the
first choice surgical approach.
OBJECTIVE
To report the case of a patient who developed frontoethmoidal mucocele after an episode of
trauma.
CASE REPORT
A 17-year-old patient was referred to our service due to a history of
bulging in the frontal and periorbital region on the left, after local trauma caused by
object, evolving with frontal headache, left nasal pain, clear rhinorrhea, decreased
visual acuity, hyposmia and lesion volume increase over 4 years. toAt the exam
physical, bulging was observed in the nasal dorsum and proptosis on the left. It was madeAn
otorhinolaryngological investigation was made, being submitted to tomography of the facial sinuses, which
presented left septal deviation, heterogeneous expansive formation of contours,
lobulated cells occupying frontal sinus and ethmoid cells on the left, determining bulging
and bone remodeling, in addition to insinuation of injury to the periorbital region with
extrinsic compression on the left eyeball, deviating it laterally, a case
suggestive of frontoethmoidal mucocele. Septoplasty, marsupialization of
left frontoethmoidal mucocele, maxillary astrostomy and sphenoid sinusotomy
left. Patient reassessed after the surgical procedure, showing evolution
satisfactory.
CONCLUSION: The reported case brings to light the diagnostic discussion of mucocele
frontoethmoidal and evidences that the surgical therapy is able to obtain results
satisfactory with regard to symptomatic relief and improvement in quality of life.
KEY WORDS: Frontoethmoidal mucocele; marsupialization;