Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-23T13:49:27.628Z Has data issue: false hasContentIssue false
  • English
  • Français

Ophthalmic considerations in fronto-ethmoidal mucocoeles

Published online by Cambridge University Press:  29 June 2007

Valerie J. Lund  and
Muriel E. Rolfe
Valerie J. Lund*
Affiliation:
Senior Lecturer and Honorary Consultant, Professorial Unit, Institute of Laryngology and Otology, Gray's Inn Road, London WC1X 8DA
Muriel E. Rolfe
Affiliation:
Associate Specialist, Moorfields Eye Hospital, City Road, London EC1V 2PD
*
Valerie J. Lund, M.S., F.R.C.S., Senior Lecturer, Institute of Laryngology and Otology, 330/332 Gray's Inn Road, London WC1X 8EE
Get access Rights & Permissions [Opens in a new window]

Abstract

The pre-and post-operative ophthalmic consequences of fronto-ethmoidal mucocoeles are considered in a prospective series of 22 patients. Proptosis, lateral and inferior displacement, diplopia and restriction of ocular mobility were the commonest presenting problems. Following external fronto-ethmoidectomy, proptosis and displacement resolved completely in the majority of patients. One third of patients experienced a transient exacerbation of diplopia but this resolved in most patients. Persistent diplopia occurred in seven patients and required medical correction in four and surgery in one. This was due in all cases to underaction of the superior oblique muscle and probably to backward displacement of the trochlea which may be avoided by careful surgical re-attachment.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 7 , July 1989 , pp. 667 - 669
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bordley, J. E. and Bosley, W. R. (1973) Mucocoeles of the frontal sinus. Annals of Otology, Rhinology and Laryngology, 82: 696–702.CrossRefGoogle ScholarPubMed
Canalis, R. F., Zajtchuk, J. T. and Jenkins, H. A. (1978) Ethmoidal mucocoeles. Archives of Otolaryngology, 104: 286–291.CrossRefGoogle Scholar
Fujitani, T., Takahasi, T. and Asai, T. (1984) Optic nerve disturbance caused by frontal and frontal and fronto-ethmoidal mucopyoceles. Archives of Otolaryngology 110: 267–269.CrossRefGoogle ScholarPubMed
Harrison, D. F. N. (1980) The ENT surgeon looks at the orbit. Journal of Laryngology and Otology (Supplement 3), 1–43.CrossRefGoogle ScholarPubMed
Hesselink, J. R., Weber, A. L., New, P. F. J., Davis, K. R., Roberson, G. H. and Taveras, J. M. (1979) Evaluation of mucoceles of the paranasal sinuses with computed tomography. Radiology, 133: 397–400.CrossRefGoogle ScholarPubMed
Howarth, W. G. (1921) A radical frontal sinus operation. Journal of Laryngology and Otology, 38: 341–343.CrossRefGoogle Scholar
Iliff, C. E. (1973) Mucoceles in the orbit. Archives of Ophthalmology, 89: 392–395.CrossRefGoogle ScholarPubMed
Lund, V. J., Harvey, W., Meghji, S. and Harris, M. (1988) Prostaglandin synthesis in the pathogenesis of fronto-ethmoidal mucocoeles. Acta Otolaryngologica, 106: 145–151.CrossRefGoogle Scholar
Lynch, R. C. (1921) The technique of a radical frontal sinus operation which has given me the best results. Laryngoscope, 31: 1–5.CrossRefGoogle Scholar
Natvig, K. and Larsen, T. E. (1978) Mucocele of the paranasal sinuses. Journal of Laryngology and Otology, 92: 1075–1082.CrossRefGoogle ScholarPubMed
Rosenbaum, A. L. and Astle, W. F. (1985) Superior oblique and inferior rectus muscle injury following frontal and intranasal sinus surgery. Journal of Pediatric Ophthalmology and Strabismus, 22: 194–202.CrossRefGoogle ScholarPubMed
Rubin, J. S., Lund, V. J. and Salmon, B. (1986) Frontoethmoidectomy in the treatment of mucoceles. Archives of Otolaryngology, 112: 434–436.CrossRefGoogle ScholarPubMed
Wigh, R. (1950) Mucocoeles of the fronto-ethmoidal sinuses. Radiology, 54: 579–590.CrossRefGoogle Scholar
Wolff, E. (1976) Anatomy of the Eye and Orbit, 7th edition, revised by Warwick, R.H. K. Lewis: London.Google Scholar