TRANSNASAL ENDOSCOPIC SURGERY - Dr. P. THULASI DAS
MUCOCELE
Mucocele of the sinuses are produced due to collection of mucous
inside a sinus cavity due to blockage of its ostium or one part of
the sinus getting separated and forming a closed cavity.
Click below image to enlarge view
Frontal
Mucocele
Pushing the right eye laterally
Normal appearance after endoscopic drainage.
Mucoceles are basically a harmless disease process, but they have a
tremendous ability to expand the affected sinus. The symptoms are
mostly due to pressure effects of the expanded sinus on the
neighbouring structures.
Click below image to enlarge view
Frontal
Mucocele
Pushing the right eye laterally
After endoscopic drainage
An expanded frontal & ethmoid mucocele may produce proptosis
(bulging of the eyes) and disfigurement of the face. Mucoceles of
the posterior ethmoid and sphenoid sinuses can produce blindness due
to pressure effect on the optic nerves. Endoscopic marsupialisation
is the treatment of choice to cure this condition External Surgery
has no role in this condition and external operations are associated
with high recurrence rate. External operations should be avoided for
mucoceles.
