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77th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

24.05. - 28.05.2006, Mannheim

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Long-term results of fronto-orbital mucoceles: extra- vs. endonasal approach

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  • corresponding author presenting/speaker Iakovos Arapakis - Katharinenhospital Stuttgart, Dept. of Otorhinolaryngology, Head and Neck Surgery, Stuttgart, Germany
  • author Udo Schuss - Katharinenhospital Stuttgart, Dept. of Otorhinolaryngology, Head and Neck Surgery, Stuttgart, Germany
  • author Klaus Schneider - Katharinenhospital Stuttgart, Dept. of Otorhinolaryngology, Head and Neck Surgery, Stuttgart, Germany
  • author Gerd Rasp - Katharinenhospital Stuttgart, Dept. of Otorhinolaryngology, Head and Neck Surgery, Stuttgart, Germany

German Society of Otorhinolaryngology, Head and Neck Surgery. 77th Annual Meeting of the German Society of Otorhinolaryngology, Head and Neck Surgery. Mannheim, 24.-28.05.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06hno090

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hno2006/06hno090.shtml

Published: September 7, 2006

© 2006 Arapakis et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Mucoceles of paranasal sinuses can expand in the orbit as well as frontal skull base with asymptomatic course for many years. External deformities of the forehead, CSF leaks and orbital complications determine frequently the therapeutic management.

Method: In the period of 1998 until November 2005 137 patients with mucoceles of the frontal and ethmoid sinus were treated in our hospital. Retrospectively all endonasal as well as extranasal, transfacial surgical approaches were evaluated, and the postoperative healing process was documented.

Results: Mucoceles were predominantly located in the frontal sinus (n=87). Three cases were primary (spontaneous) mucoceles, i.e. without preceding operation, trauma or inflammation. The remaining cases were late complications after sinus surgery (n=48) and fractures (n=36). The surgical management of all posttraumatic mucoceles as well as lateral mucoceles of the frontal sinus were accomplished by an extranasal approach. Mucoceles arising after sinus surgery were in the main endonasally operated. The observation period amounted to on average 2.6 years.

Conclusion: Due to recurrence risk and the evaluation of treatment results longer observation periods are necessary. All patients were immediately after the surgery free of complications. The cosmetic results after extranasal approach were in the main satisfying. The choice of surgical approach is determined primarily by the localization, more rarely by genesis of the mucocele.