Frontal sinus mucocele in association with fibrous dysplasia: review and report of two cases
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Chris Derham & Sorin Bucur & John Russell & Mark Liddington & Paul Chumas
- چاپ و سال / کشور: 2010
Description
We present two paediatric cases of fibrous dysplasia (FD) who presented to the craniofacial neurosurgical clinic with ophthalmological symptoms associated with sinus mucoceles. The first patient presented with a history of orbital cellulitis and an increasing bony swelling around the orbit associated with proptosis. Radiological imaging revealed monostotic FD associated with an obstructive mucocele in the frontal sinus with extension into the orbit. The second patient presented with recurrent conjunctivitis, painful proptosis, rhinitis and a bony periorbital swelling. Both patients had histological diagnoses of frontal mucoceles invading the orbit in association with FD. They both underwent frontal craniotomies and excision of the mucocele/fibrous dysplastic complex. In summary, mucocele development is an unusual complication of FD, likely to occur secondary to occlusion of the sinus drainage system. Orbital involvement may lead to visual disturbance caused by pressure effects. A multi-disciplinary approach including maxillofacial surgeons, plastic surgeons and neurosurgeons is advocated.
Childs Nerv Syst (2011) 27:327–331 DOI 10.1007/s00381-010-1266-z Received: 18 July 2010 / Accepted: 3 August 2010 / Published online: 21 August 2010
