ORIGINAL ARTICLES   

Journal of Neurosurgical Sciences 2010 March;54(1):1-5

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: English

Transnasal endoscopic management of frontal sinus mucopyocele with orbital and frontal lobe displacement as minimally invasive surgery

Bozza F. ¹, Nisii A. ¹, Parziale G. ², Sherkat S. ², Del Deo V. ¹, Rizzo A. ² ✉

¹ Department of Maxillo-Facial Surgery, San Filippo Neri Hospital, Rome, Italy 2 Department of Neurosurgery, San Filippo Neri Hospital, Rome, Italy

AIM: 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.
METHODS: 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.
RESULTS AND DISCUSSION: 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.