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Volume 5, Issue 8, August – 2020 International Journal of Innovative Science and Research Technology

ISSN No:-2456-2165

Post-Traumatic Frontal Mucocele:


Exceptional Cause and Frequent Recurrence
Hamid Khay, Mohammed Khoulali, Younes Dehneh, Lhamlili mohammed, Nabil Raouzi, Noureddine Oulali, Fayçal Moufid
Department of Neurosurgery, Mohammed VI university Hospital, Oujda, Morocco

Abstract:- The frontal mucocele is a benign pathology orbital wall with orbito-palpebral extension hiding and
characterized by its recurrence and is sometimes poor driving the eyeball downwards and outside. The patient
prognosis by the complications arising. We report the underwent surgery for drainage and marsupialization of the
case of a young man, followed for recurrent frontal pathological frontal mucosa associated with excision of the
mucocel, secondary to a sinus trauma. It is managed frontal mucocele membrane, mucocele content were
surgically with multiple reccurence. Our goal is to decry purulent, frontal sinus was aerated by milling the sinus
the appearance intraoperative an exceptional case walls. The patient also received intravenous antibiotic
mucocel frontal posttraumatic recurrent and therapy based on amoxicillin. The postoperative marked by
superinfected. a total recovery of the visual function and almost normal
eye-palpebral motility (Figure 2).
Keywords:- Post-Traumatic Mucocele, Surgery,
Recurrence, Infection. III. CONCLUSION

I. INTRODUCTION Surgical excision of mucocele and aeration the


pathological sinus is the treatment of choice for mucocele
Mucocele is a benign and rare cystic tumor, adults are and the recurrence one, mucocele is a benign tumor, but it
mainly affected. The frontal and / or ethmoidal mucocele, can cause serious locoregional complications due the delay
despite its histological benignity, has an aggressive in treatment or recurrence problems, antibiotics only
potential towards the local structures. It is due to a non- indicated in infected cases, as it was with our patient,
ventilatilated sinus. The post-traumatic cause is exceptional crânio-facial trauma is common in developing countries
and only one iatrogenic case reported following endonasal including Morocco, close follow-up is indicated to detected
surgery. Surgical treatment consists of excision of the cyst these serious complications.
and drainage of the causal sinus.1–3
REFERENCES
II. CASE REPORT
[1]. Aghakhanyan G, Lupi G, Frijia F, et al. Delayed Post-
A 38-years-old male patient with a history of nasal Traumatic Fronto-Ethmoidal Sinus Mucocele
fracture three years before, the patient was operated ten Evaluated with Short and Long TE MR Spectroscopy.
months ago for mucocele revealed by left eye Neuroradiol J. 26(6):693-698.
exophthalmos. The patient actually presents recurrence of [2]. Gupta M, Chauhan B, Gupta M, Gupta AK. Large
his exophthalmos. Clinical examination revealed left eye Frontoethmoidal Mucocele: Treatment and Review.
exophthalmos non pulsatile, non-axial and irreducible with doi:10.5005/JP-JOURNALS-10013-1171
limitation in eye movement upward and inward. Nasal [3]. Makihara S, Kariya S, Okano M, Naito T, Tsumura
endoscopy showed nasal mucosa inflamed absence of the M, Nishizaki K. Orbital complications of infected
left lower horn, synechiae on both side with purulent mucocele in the paranasal sinuses. Auris Nasus
secretions (figure1). MRI And CT-scan of the nasal sinus Larynx. Published online June 11, 2020.
revealed a large left frontal mucocele lysing the superior doi:10.1016/j.anl.2020.05.012

IJISRT20AUG004 www.ijisrt.com 623


Volume 5, Issue 8, August – 2020 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165

Fig 1:- preoperative images (permission obtained from the patient for publication)

IJISRT20AUG004 www.ijisrt.com 624


Volume 5, Issue 8, August – 2020 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165

Fig 2:- operative and Postoperative images (permission obtained from the patient for publication)

 Declarations:

 Ethics approval and consent to participate: Not applicable.


 Consent for publication: Not applicable.
 Availability of data and materials: Not applicable.
 Competing interests: The authors declare that they have no competing interests.
 Funding: None.
 Authors’ contributions: Conception and design, Acquisition of data, Drafting the article, Reviewed submitted version of
manuscript and Approved the final version of the manuscript: all authors.
 Acknowledgments: patient.

IJISRT20AUG004 www.ijisrt.com 625

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