Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-27T19:42:27.618Z Has data issue: false hasContentIssue false

Studies on mucocoeles of the ethmoid and sphenoid sinuses: Analysis of 47 cases

Published online by Cambridge University Press:  29 June 2007

Hiroshi Moriyama*
Affiliation:
Tokyo, Japan
Tsuneya Nakajima
Affiliation:
Tokyo, Japan
Yoshio Honda
Affiliation:
Tokyo, Japan
*
Dr Hiroshi Moriyama, The Jikei University of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo 105, Japan.

Abstract

Forty-seven mucocoeles of the ethmoid and/or sphenoid sinuses (33 males, 14 females) were operated on during the 10-years period from 1980 through 1989. Thirty-seven cases were post-operative mucocoele, while the remaining 10 were so-called primary mucocoeles. None of the cases had a history of facial trauma. In the majority of post-operative cases, the mucocoele develops 15–24 years after initial surgery. Paranasal sinus surgery in young patients (teenagers) may lead to a mucocoele due to post-operative scarring in the surgical wound. The principal symptoms include globe displacement, double vision, headache, deep orbital pain, a mass in the supero-medial quadrant of the orbit, visual disturbance, etc. Sufficient opening of the mucocoele wall by the endonasal approach is recommended for surgical treatment of ethmoidal and sphenoidal mucocoeles

Keywords

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Canalis, R. F., Zajtchuk, C. J. T., Jenkins, H. (1978) Ethmoidal mucocoeles. Archives of Otolaryngology, 104: 286291.CrossRefGoogle Scholar
Close, L.G., Oconner, W. E. (1983) Sphenoidal mucocoeles with intracranial extension. Otolaryngology, Head and Neck Surgery, 91: 350357.CrossRefGoogle ScholarPubMed
Kennedy, D. W., Josephson, J. S., Zinreich, S. J., Mattox, D. E., Goldsmith, M. M. (1989) Endoscopic sinus surgery for mucocodes: a viable alternative. Laryngoscope, 99: 885895.CrossRefGoogle ScholarPubMed
Lund, V. J. (1987) Anatomical considerations in the aetiology of front-ethmoidal mucocoeles. Rhinology, 25: 8388.Google Scholar
McCarthy, W. L., Frenkel, M., Busse, B. J. (1972) Visual loss as the only symptom of sphenoid sinus mucocoele. American Journal of Ophthalmology, 74: 11341140.CrossRefGoogle Scholar
Moriyama, H., Shimada, K., Saito, K., Mochizuki, M. (1981) Posterior paranasal sinus mucocoeles. Oto-Rhino-Laryngology Tokyo, 24: 465480.Google Scholar
Natvig, K., Larsen, T. E. (1978) Mucocoele of the paranasal sinuses. Journal of Laryngology and Otology, 92: 10751082.CrossRefGoogle ScholarPubMed
Nugent, G. R., Sprinkle, P., Bloor, B. M. (1970) Sphenoid sinus mucocoeles. Neurosurgery, 32: 443451.CrossRefGoogle Scholar