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- Title
Case report: endoscopic marsupialization of extra maxillary and intraorbital mucocelles in a patient subject to a firearm projectile lodged in the maxillary sinus wall.
- Authors
Aragao Torres, Rodrigo; Soares Tepedino, Miguel; Miño Vianna, Pedro; Martins Costa, Fabiolla Maria; Pires de Mello de Azevedo, Ana Carolina; Moreira da Costa, Luma; Teixeira de Almeida, Andréa
- Abstract
Mucoceles are benign, locally destructive, progressively expansive, lesions of the paranasal sinuses, in the adult population are associated among other causes with trauma. Symptoms vary with the location of the lesion. High resolution CT scan usually allows for an accurate diagnosis with endoscopic marsupialization technique as the preferred approach. This study aims to describe the case of an extra maxillary sinus and intra orbital mucoceles secondary to a firearm projectile lodged inside the sinus, presenting with right eye proptosis, right hemiface bulging and recurrent sinusitis. A.C.S, 57 years old, male patient, was treated at the ENT service of Pedro Ernesto Hospital with a history of a firearm projectile in the face with entrance on the left without an exit orifice. A CT scan was requested, which showed a soft tissue density expansive lesion lateral to the lateral wall of the right maxillary sinus, causing medialization and destruction of the lateral wall with partial destruction of its anterior and posterior walls, along with the orbital floor, an intra orbital lesion of similar aspect was observed coming through the orbital floor defect. It was also observed the presence of a foreign body close to the lateral wall of the maxillary sinus. A post-lacrimal maxillectomy was performed with marsupialization of both lesions. The patient evolved with significant reduction in facial bulging and symptom improvement and no postoperative complications were observed. The present case shows evidence of the safety and efficacy of an endoscopic approach in respects to large extra maxillary and orbital mucoceles.
- Subjects
MAXILLARY sinus; MAXILLARY sinus diseases; EYE-sockets; PARANASAL sinuses; PROJECTILES; COMPUTED tomography
- Publication
International Archives of Otorhinolaryngology, 2022, Vol 26, p28
- ISSN
1809-9777
- Publication type
Case Study