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Case Series
Frontoethmoidal mucocele with unilateral proptosis: Case series
1 Department of ENT, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria
2 Department of Ophthalmology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria
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EE Afiadigwe
Department of ENT, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State,
Nigeria
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Article ID: 100002Z18EA2020
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How to cite this article
Afiadigwe EE, Apakama AI, Obasikene G, Obah JU, Nwosu SNN. Frontoethmoidal mucocele with unilateral proptosis: Case series. J Case Rep Images Oncology 2020;6:100002Z18EA2020.ABSTRACT
Introduction: Mucocele may occur in any of the paranasal sinuses but the frontal sinus is the commonest followed by the ethmoidal sinuses. Frontoethmoidal mucocele is a disfiguring benign condition with good prognosis when treated promptly but associated with both orbital and intracranial complication if neglected. The current treatment of choice is functional endoscopic sinus surgery (FESS) which is still being developed in many low and middle income nations leaving external frontoethmoidectomy as the available treatment of choice.
Case Report: We report two cases of frontoethmoidal mucocele with orbital involvement jointly managed in our center between January 2011 and February 2013 and reviewed the literature. They were one male and one female, both presented with unilateral proptosis and had external frontoethmoidectomy with good outcome.
Conclusion: Non-axial proptosis is a serious complication of frontoethmoidal mucocele. External frontoethmoidectomy is an effective treatment of choice especially for massive late presenting lesions as ours, where FESS is still at the developmental stages.
Keywords: Frontoethmoidectomy, Frontoethmoidal mucocele, Proptosis
SUPPORTING INFORMATION
Author Contributions
EE Afiadigwe - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
AI Apakama - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
G Obasikene - Revising it critically for important intellectual content, Final approval of the version to be published
JU Obah - Acquisition of data, Final approval of the version to be published
SNN Nwosu - Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 EE Afiadigwe et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
