phenylephrine-hydrochloride and Mucocele

A case report of a patient with bilateral frontoethmoid mucoceles with no obvious predisposing factors and each side presenting three years apart, with no ongoing nasal or paranasal signs of disease in the interim.Bilateral paranasal sinus mucoceles have rarely been described in the literature; this case is unique, as it is the first description of a metachronous presentation. Additionally, the absence of any predisposing factors such as trauma, surgery or chronic sinusitis in either presentation is unusual.

Topics: Humans; Mucocele; Nose; Paranasal Sinus Diseases

To summarize and analyze the clinical features, diagnosis, surgical approaches and treatment outcomes of patients with primary nasal sinus osteoma.. A retrospective review of 48 cases with primary nasal sinus osteoma treated from January 2007 to December 2013 was performed. All patients underwent preoperative CT scan and postoperative histopathologic examination. The surgical approaches included lateral rhinotomy in 14 cases, nasal endoscopic resection in 12 cases, coronal surgical incision craniotomy in 13 cases, combined craniofacial approach in 4 cases, and Caldwell-Luc approach in 5 cases.. The postoperative pathological diagnosis consisted of 3 variants, including 20 for compact type and 15 for cancellous type, and 13 for mixed type. Six cases were lost to follow-up and 42 cases were followed up for 6-60 months, 5 cases recurred. The post-operative complications included sinus mucous cyst in 4 cases, cerebrospinal fluid leak in 3 cases.. Nasal sinus osteoma are common. CT or MRI is helpful to evaluate the osteoma size, location and possible sources, and to make operation scheme. Surgery is the first choice for sinus osteoma. Lateral rhinotomy and nasal endoscopic resection can be applied to most sinus osteoma. The prognosis of sinus osteoma is good, with fewer recurrence.

Topics: Craniotomy; Endoscopy; Humans; Magnetic Resonance Imaging; Mucocele; Nose; Osteoma; Paranasal Sinus Neoplasms; Paranasal Sinuses; Retrospective Studies; Tomography, X-Ray Computed; Treatment Outcome

Schwannomas are rare tumours arising from the peripheral nerve sheath. Nearly half of all schwannomas occur in the head and neck region, but the sinonasal tract is rarely involved. We report on an extremely rare case of vidian nerve schwannoma accompanied by mucopyocele with symptoms of oculomotor palsy and CSF leakage. An exclusively endoscopic endonasal approach was performed to excise the tumour and the dural defect was repaired. To our knowledge, this is the first time a vidian nerve schwannoma has been excised in an exclusively endoscopic approach. We first review the literature and then discuss the benefits for patients undergoing this type of operation.

Topics: Aged; Cranial Nerve Neoplasms; Diagnosis, Differential; Female; Follow-Up Studies; Humans; Magnetic Resonance Imaging; Mucocele; Natural Orifice Endoscopic Surgery; Neurilemmoma; Nose; Ophthalmoplegia; Sphenoid Bone; Tomography, X-Ray Computed

Chronic pyopolypous pansinusitis in a patient presenting with mucopyocele of the frontal sinus is described. A brief characteristic of cyst-like extension of the paranasal sinuses is presented. Special attention is given to the main diagnostic criteria. The methods of surgical and postoperative treatment of patients with the pathology in question are discussed.

Topics: Adult; Diagnosis, Differential; Drainage; Endoscopy; Follow-Up Studies; Frontal Sinus; Humans; Male; Mucocele; Nose; Otorhinolaryngologic Surgical Procedures; Sinusitis; Suppuration; Tomography, X-Ray Computed

The aim of this study was to evaluate the efficacy of transnasal endoscopic marsupialization as a treatment modality in patients with postoperative maxillary mucoceles and to compare the efficacy of marsupialization via middle meatal antrostomy with that of marsupialization via inferior meatal antrostomy. The study design was a retrospective clinical series and the setting was a tertiary referral center. After obtaining approval from the local ethics committee, we reviewed the medical records of 39 consecutive patients with postoperative maxillary mucoceles who were diagnosed and treated at the Department of Otolaryngology, Chang Gung Memorial Hospital, Taiwan, from 2004 to 2009. Transnasal endoscopic marsupialization was performed on 32 patients (34 sides) with postoperative maxillary mucoceles. All patients were followed for more than 12 months after surgery, and recurrence was noted in five patients (14.9%). Recurrence was experienced by five patients who underwent inferior meatal antrostomy and zero patients who underwent middle meatal antrostomy; thus, a statistically significant difference (p = 0.04) was observed. Transnasal endoscopic marsupialization is an effective modality for postoperative maxillary mucoceles and results in reduced morbidity. The use of middle meatal antrostomy in particular is preferred.

Topics: Adult; Aged; Endoscopy; Female; Follow-Up Studies; Humans; Male; Maxillary Sinus; Middle Aged; Mucocele; Nose; Otorhinolaryngologic Surgical Procedures; Paranasal Sinus Diseases; Retrospective Studies; Time Factors; Tomography, X-Ray Computed; Treatment Outcome

Topics: Abnormalities, Multiple; Adult; Cysts; Diagnosis, Differential; Ethmoid Sinus; Eyebrows; Eyelid Diseases; Eyelids; Humans; Magnetic Resonance Imaging; Male; Microphthalmos; Mucocele; Nose; Orbital Diseases; Paranasal Sinus Diseases; Tomography, X-Ray Computed

An obstructive condition of paranasal sinus secondary to surgery, trauma, flogosis or neoplasms could become a predisposing state to the occurrence of mucocele. Frontal sinus mucoceles, which can turn into mucopyoceles due to bacterial super-infections, may invade the orbit, erode the skull base and displace respectively the ocular bulb and the frontal lobe. The surgical treatment of this disease ranges from mini-invasive approaches, such as the transnasal endoscopic marsupialization, to a more aggressive surgery such as osteoplasty through coronal flap and frontal sinus exclusion by fat tissue.. From 2005 to 2007, we treated with transnasal endoscopic surgery 10 patients, affected by frontal sinus mucopyoceles displacing both the ocular bulb and the frontal lobe.. In the present study, we report the clinical and diagnostic features of this series, the treatment modalities and the achieved results and confirm the effectiveness of the mini-invasive transnasal endoscopic technique in the treatment of the frontal sinus mucopyocele.

Topics: Adult; Aged; Endoscopy; Facies; Female; Frontal Lobe; Frontal Sinus; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Minimally Invasive Surgical Procedures; Mucocele; Nose; Orbit; Paranasal Sinus Diseases; Retrospective Studies; Surgical Flaps; Tomography, X-Ray Computed

Sphenoethmoidal mucoceles are rare tumors. They gradually expand in size and rarely produce bony destruction of sinus walls, leading to orbital, ocular, and intracranial involvement. We present a rare case of sphenoethmoidal mucocele with bone destruction and intracranial extension, who presented with nasal blockade and loss of visual acuity. Computed tomographic scan revealed a soft tissue mass, eroding the base of anterior cranial fossa, extending intracranially into the parasellar temporal fossa. The patient was treated successfully by endoscopic excision. Although a transfacial approach is generally preferred in cases of extensive mucoceles with intracranial extensions, a thorough anatomy of the nasal skull base and proficient use of the endoscope can be a good alternative to such lesions.

Topics: Adult; Endoscopy; Ethmoid Sinus; Humans; Male; Mucocele; Nasal Obstruction; Nose; Paranasal Sinus Diseases; Skull Base; Sphenoid Sinus; Tomography, X-Ray Computed; Vision Disorders

Unilateral aplasia of the nose is a rare congenital malformation. It is often associated with other malformations of the facial region, including abnormalities of the eye and lacrimal system, proboscis lateralis, and facial bone malformations. The authors present a case of heminasal aplasia in a 4-year-old boy who underwent surgery immediately after birth because of right-sided proboscis lateralis. A huge hemispheric tumefaction was occupying a large part of the right orbit, medial canthus, and frontonasal region of the face, causing lateroinferior protrusion of the eyeball. The right half of the external nose was aplastic. The patient was operated on by an external approach. The pathohistological findings from the top of tumefaction revealed cystic teratoma. The possible backgrounds for the onset of the tumefaction are discussed in two main directions: the cystic form of the regrowth of the remnants of inadequately excised proboscis lateralis and cystic teratoma of the ethmoidal sinus.

Topics: Biopsy; Child, Preschool; Ethmoid Sinus; Follow-Up Studies; Frontal Sinus; Humans; Male; Mucocele; Nose; Nose Neoplasms; Orbital Neoplasms; Paranasal Sinus Neoplasms; Teratoma; Tomography, X-Ray Computed

Topics: Artifacts; Calculi; Dental Amalgam; Dental Cementum; Dental Enamel; Diagnosis, Differential; Exostoses; Humans; Hyperplasia; Jaw Diseases; Jaw Neoplasms; Maxillary Sinus; Mucocele; Nose; Odontogenic Tumors; Odontoma; Osteitis; Osteitis Deformans; Osteosclerosis; Paranasal Sinus Diseases; Periapical Diseases; Periapical Granuloma; Periapical Tissue; Radiography; Salivary Gland Calculi; Tattooing; Tongue; Tooth Root; Tooth, Impacted

Topics: Adult; Female; Follow-Up Studies; Frontal Sinus; Humans; Mucocele; Nose; Plastic Surgery Procedures; Pregnancy; Treatment Outcome

Mucoceles are the most common lesions causing expansion of the paranasal sinuses. The sinuses most commonly involved are, in decreasing order of frequency, frontal sinus, ethmoid sinuses, maxillary sinus and sphenoid sinus. We reviewed 46 cases of surgically proven mucoceles and the purpose of this study was to report five cases of mucoceles in an uncommon location.

Topics: Adult; Endoscopy; Ethmoid Sinus; Female; Humans; Male; Maxillary Sinus; Middle Aged; Mucocele; Nose; Paranasal Sinus Diseases; Tomography, X-Ray Computed

The goals of the treatment of paranasal sinuses mucocele are the relief of the symptoms due to compression and the prevention of recurrence. Because of the benignity of the pathology, it is mandatory to choose the approach that minimizes the surgical trauma. When an anterior clinoid mucocele is found, the conventional approaches are the trans-nasoethmoidal, the subtemporal or the pterional ones: we think that as a really mini-invasive approach, the transnasal endoscopy may be proposed. Anterior clinoid localization may be reached by a trans-sphenoidal way and treated by endoscopic microsurgery with a very low morbility. This paper deals with a case of anterior clinoid mucocele treated by this way with good anatomic and functional results and stresses the importance of the pre-operative imaging (CT/MR) allowing one to make a sure diagnosis and to choose the cases suitable for this surgical approach.

Topics: Adult; Endoscopy; Female; Humans; Magnetic Resonance Imaging; Mucocele; Nose; Paranasal Sinus Diseases; Sphenoid Sinus

In two cases intracranial extension of mucoceles of the paranasal sinus was safely removed by intranasal evacuation and drainage of the lesions located in the paranasal sinus. The diagnosis was ascertained in both cases via intranasal approach. In addition, the volume of the intracranial lesions was reduced. This procedure is both effective and a less invasive diagnostic treatment for the lesion.

Topics: Adolescent; Adult; Follow-Up Studies; Humans; Magnetic Resonance Imaging; Male; Mucocele; Nose; Tomography, X-Ray Computed; Treatment Outcome

Reported cases of toxic shock syndrome (TSS) following nasal surgery or functional endonasal sinus surgery (FESS) are uncommon. Classic TSS is a serious multisystem disorder resulting from Staphylococcus aureus phage I toxic shock syndrome toxin 1 (TSST-1), and it is characterized by fever, rash, hypotension, mucosal hyperemia, vomiting, diarrhea, and laboratory evidence of multisystem organ dysfunction. TSS cases following nasal surgery have been associated with nasal packing, mucosal barrier violation, prior S aureus phage I colonization, as well as low antitoxin antibody levels. Of the 1700 FESS procedures performed at our institution, 3 cases were complicated by classic TSS, with 2 additional patients having a postsurgical course compromised by a milder degree of TSS. Diagnostic criteria, clinical presentation, management, and etiology are discussed, and the possibility of a continuum from mild-to-classic TSS is addressed.

Topics: Adolescent; Adult; Child; Female; Humans; Male; Maxillary Sinus; Mucocele; Nasal Polyps; Nasal Septum; Nose; Paranasal Sinus Diseases; Postoperative Complications; Shock, Septic; Sinusitis; Sphenoid Sinus; Staphylococcal Infections; Tampons, Surgical

The AA. expose their experience drawn out from 150 cases of naso-sinusal pathology, treated through endoscopic surgery after the Messerklinger-Stammberger technique. They emphasize either the advantages of the procedure, in comparison with the classic methods, and the postoperative pitfalls. This procedure call for an exact knowledge of the endoscopic anatomy of the ethmoidal area, which can be gained only through corpses training.

Topics: Endoscopy; Humans; Mucocele; Nasal Polyps; Nose; Paranasal Sinuses; Postoperative Complications; Reoperation; Sinusitis; Surgical Procedures, Operative

Topics: Child, Preschool; Fistula; Humans; Infant; Intubation; Lacrimal Apparatus; Lacrimal Apparatus Diseases; Mucocele; Nose; Tears

A newborn infant with bilateral mucoceles of the lacrimal sacs also had submucosal masses along the floor of the nose beneath the inferior turbinates communicating with the mucoceles. Drainage of the mucoceles was performed by needle aspiration and wide marsupialization of the nasal masses into the nose under direct visualization. To our knowledge, this is the first time that intranasal extension of mucoceles has been reported, and the first time that lacrimal sac mucoceles have been successfully treated via direct nasal drainage. We advocate careful nasal evaluation in cases of congenital lacrimal sac mucoceles to determine whether intranasal extension is common and whether intranasal drainage can be curative.

Topics: Drainage; Female; Humans; Infant, Newborn; Lacrimal Apparatus Diseases; Mucocele; Nose; Ultrasonography

Topics: Adolescent; Adult; Aged; Ethmoid Bone; Female; Humans; Male; Middle Aged; Mucocele; Nasal Polyps; Nose; Tomography, X-Ray Computed

Topics: Adult; Ethmoid Bone; Face; Fractures, Bone; Humans; Male; Melanoma; Mucocele; Neck; Nose; Optic Neuritis; Orbit; Orbital Neoplasms; Postoperative Complications; Rhinitis

Topics: Airway Obstruction; Animals; Disease Models, Animal; Dogs; Frontal Sinus; Microscopy, Electron; Mucocele; Nasal Mucosa; Nose; Osteotomy; Radiography; Sinusitis; Turbinates

Topics: Adolescent; Adult; Aged; Calculi; Carcinoma, Squamous Cell; Child; Cysts; Diagnosis, Differential; Female; Fibrous Dysplasia of Bone; Headache; Humans; Male; Middle Aged; Mucocele; Nasal Polyps; Neck; Nose; Paranasal Sinus Neoplasms; Radiography; Respiratory Tract Diseases; Sinusitis; Sphenoid Sinus

Topics: Child; Craniofacial Dysostosis; Female; Frontal Bone; Humans; Hypertelorism; Lip Diseases; Mucocele; Nose; Radiography; Skin Abnormalities

Topics: Dacryocystitis; Humans; Intubation; Lacrimal Apparatus; Methods; Mucocele; Nose

Topics: Dacryocystorhinostomy; Fistula; Humans; Lacrimal Apparatus; Methods; Mucocele; Nose

Topics: Humans; Mucocele; Mucus; Nose

Topics: Humans; Mucocele; Nose; Paranasal Sinuses

Topics: Fistula; Humans; Mucocele; Neoplasms; Nose; Orbit; Orbital Neoplasms; Paranasal Sinuses

Topics: Autopsy; Humans; Mucocele; Nose; Paranasal Sinus Diseases; Paranasal Sinuses; Sphenoid Bone; Sphenoid Sinus