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CASE REPORT - CRANIOMAXILLOFACIAL SURGERY
Year : 2021  |  Volume : 11  |  Issue : 1  |  Page : 129-131

Minimally invasive endoscopic approach towards management of frontoethmoidal mucocoele with lateral displacement of eyeball and proptosis - A case report


1 Department of Pediatric Dentistry, Kaushal Dental Care Centre, New Delhi, India
2 Department of ENT, Military Hospital, Secunderabad, Telangana, India
3 Department of Oral & Maxillofacial Surgery, Kaushal Dental Care Centre, New Delhi, India

Correspondence Address:
Dr. Tanzeem Ahmed
P3D, Hanuman Temple Complex Pocket 1, Trimulgherry, Secunderabad - 500 015, Telangana
India
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DOI: 10.4103/ams.ams_420_20

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Rationale: Mucocoeles of paranasal sinuses are expansile and destructive lesions which can present with a variety of symptoms. If not treated early, they may lead to various complications. Patient Concerns: This report presents a case of a 26-year-old male patient with complaints of swelling of the left eye and double vision for 18 months. Diagnosis: Diagnosis of frontoethmoidal mucocoele with an unusual presentation of lateral displacement of the eyeball and proptosis was made based on patient history, clinical examination, and computed tomography. Treatment: The case was managed conservatively with marsupialization of the mucocoele using the transnasal endoscopic approach. Outcome: Complete resolution of the Mucocoele and its associated symptoms was observed, and frontal sinus ostium was found to be patent and completely epithelialized in 12-month follow-up. Take-away Lessons: The endoscopic approach toward the management of frontoethmoidal mucocoele is an effective alternative to conventional surgery with less patient morbidity and mortality.


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