Maxillary Sinus Mucocele as a Late Complication in Zygomatic-Orbital Complex Fracture

This article presents an unusual case of maxillary sinus mucocele as a late complication of zygomatic-orbital complex fracture, 23 years after the initial treatment. The patient was referring diplopia and decreased visual acuity with signs of dystopia, proptosis, and epiphora. Computed tomographic scan revealed an expansive lesion in the maxillary sinus with surrounding bone erosion and displacement of the eyeball. Treatment option was excisional biopsy and orbital floor reconstruction with titanium mesh restoring the appropriate orbital position. We propose that in the case of postoperative ophthalmological sequelae of facial fractures involving paranasal sinuses, mucocele should be considered in the differential diagnosis.

[1]  V. Bhat,et al.  FRONTAL SINUS MUCOCELE FOLLOWING A TRIVIAL FACIAL TRAUMA, PRESENTING AS A PYOCELE- A CASE REPORT , 2013 .

[2]  H. Sheth,et al.  Diplopia due to maxillary sinus mucocoele , 2007, International Ophthalmology.

[3]  L. Ozluoglu,et al.  Endoscopic sinus surgery for maxillary sinus mucoceles , 2006, Head & face medicine.

[4]  M. Koudstaal,et al.  Post-trauma mucocele formation in the frontal sinus; a rationale of follow-up. , 2004, International journal of oral and maxillofacial surgery.

[5]  F. Dispenza,et al.  Endoscopic treatment of maxillary sinus mucocele. , 2004, Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale.

[6]  S. Liao,et al.  Transcaruncular approach for the management of frontoethmoid mucoceles , 2003, The British journal of ophthalmology.

[7]  G. Har-el,et al.  Endoscopic Management of 108 Sinus Mucoceles , 2001, The Laryngoscope.

[8]  H. Curtin,et al.  Extension to the orbit from paraorbital disease. The sinuses. , 1998, Radiologic clinics of North America.

[9]  A. M. Palmer-Hall,et al.  Paraocular sinus mucoceles. , 1997, Journal of the American Optometric Association.

[10]  E. C. Smoot,et al.  Delayed development of an ectopic frontal sinus mucocele after pediatric cranial trauma. , 1995, The Journal of craniofacial surgery.

[11]  E. Whitehead,et al.  Large maxillary antral mucocele presenting with facial asymmetry , 1993, The Journal of Laryngology & Otology.

[12]  H. Moriyama,et al.  Mucoceles of ethmoid and sphenoid sinus with visual disturbance. , 1992, Archives of otolaryngology--head & neck surgery.

[13]  M. Shimo-oku,et al.  Optic nerve involvement in posterior paranasal sinus diseases , 1989 .

[14]  S. Feldon,et al.  Ophthalmic manifestations of maxillary sinus mucoceles. , 1987, Ophthalmology.

[15]  P. Gullane,et al.  Mucoceles of the maxillary sinus. , 1986, Oral surgery, oral medicine, and oral pathology.

[16]  D. East.  Mucocoeles of the maxillary antrum Description, case reports and review of the literature , 1985, The Journal of Laryngology & Otology.

[17]  E. Kern,et al.  Postoperative mucoceles of the maxillary sinus. , 1979, Rhinology.

[18]  H. Prosch,et al.  Infection , 1955, Springer US.