 |
Case Report
Giant fronto-ethmoido-orbital mucocele. Multidisciplinary management about a case at Saint Joseph Hospital in Kinshasa, Democratic Republic of the Congo
1 ENT Department, Saint Joseph Hospital, Kinshasa, DRC
2 Department of Ophthalmology, Saint Joseph Hospital, Kinshasa, DRC
3 Notre-Dame Tshumbe University, Tshumbe, DRC
4 Department of Ophthalmology, University of Lubumbashi, Lubumbashi, DRC
5 Department of Ophthalmology, Rostock University Medical Center, Rostock, Germany
Address correspondence to:
Omadjela Oluku Augustin
Saint Joseph Hospital, Kinshasa,
DRC
Message to Corresponding Author
Article ID: 100014Z18OA2024
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Augustin OA, Janvier KN, Damien LM, Asani Y, Noel AN, Rose G, Friedrich GR. Giant fronto-ethmoido-orbital mucocele. Multidisciplinary management about a case at Saint Joseph Hospital in Kinshasa, Democratic Republic of the Congo. J Case Rep Images Otolaryngol 2024;5(2):7–11.ABSTRACT
Introduction: Sinus mucocele is a benign cystic tumor which evolves slowly and may be responsible for ophthalmological and endocranial complications. In this context, its management may require multidisciplinary expertise, which may be lacking in an environment with limited resources.
Case Report: We report the case of a 38-year-old female patient with an ocular globe protuberance and redness of the right eye that had been evolving for several years without consulting specialized services. In the ENT and Ophthalmology Departments, the clinical signs were dominated by axile exophthalmos and visual impairment on the right eye. Computed tomography (CT) scans of the sinuses revealed a mucocele of the right frontal sinus with osteolysis and grade 2 exophthalmos, as well as an extra-conical process of the right orbit with lysis of the anterior and posterior walls of the right frontal sinus and the anterior and posterior ethmoidal cells. This required remote expertise from an ophthalmologist specialized in orbital diseases and a neuroradiologist to confirm the diagnosis of mucocele. Surgical treatment using the fronto-eyebrow approach of Jacques was performed and the post-operative outcome was satisfying six months later.
Conclusion: Fronto-ethmoid-orbital mucocele is a rare condition in our settings. Multidisciplinary expertise and remote expertise can be of great value in the diagnosis and choice of treatment in an environment with limited resources.
Keywords: Complications, Fronto-ethmoido-orbital mucocele, Management, Multidisciplinary expertise
SUPPORTING INFORMATION
Author Contributions
Omadjela Oluku Augustin - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kilangalanga Ngoy Janvier - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Lumbu Malundama Damien - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yogolelo Asani - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Atiko Nono Noel - Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Geoffrey Rose - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guthoff Rudolf Friedrich - Substantial contributions to conception and design, Drafting the article, 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© 2024 Omadjela Oluku Augustin 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.
