Complete loss of vision caused by a giant mucocele of the frontal sinus.
Details
Serval ID
serval:BIB_755A575B19F0
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Complete loss of vision caused by a giant mucocele of the frontal sinus.
Journal
Journal of Craniofacial Surgery
ISSN
1536-3732 (Electronic)
ISSN-L
1049-2275
Publication state
Published
Issued date
2011
Volume
22
Number
4
Pages
1533-1535
Language
english
Abstract
The authors report the case of a 75-year-old man presenting with an exceptionally large giant posttraumatic mucocele of the frontal sinus years after a gunshot blast to the head. The lesion had grown so extensively that the right eye had shrunk and calcified, resulting in total monocular blindness, a complication that has been reported only once. To the best of our knowledge, it is the first time that a giant mucocele of such a large size is reported. We describe how the patient underwent surgical removal of this massive lesion, cranial base reconstruction, and a cosmetic oculoplastic procedure. The etiology, clinical presentation, and possible complications are reviewed, as well as the importance of a regular clinical follow-up and early surgical cure. Although the diagnosis and management of mucoceles are nowadays considered quite standard, the exceptional size of the lesion illustrated here emphasizes the destructive potential of such seemingly indolent lesions. Despite the benign histology of mucoceles, one should never underestimate their morbid potential or be lulled in delaying surgical cure. Large mucoceles should be removed as quickly as possible to prevent such unacceptable complications as permanent visual loss.
Pubmed
Web of science
Create date
22/08/2011 16:22
Last modification date
20/08/2019 15:32