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Studies on mucocoeles of the ethmoid and sphenoid sinuses: Analysis of 47 cases

Published online by Cambridge University Press:  29 June 2007

Hiroshi Moriyama ,
Tsuneya Nakajima  and
Yoshio Honda
Hiroshi Moriyama*
Affiliation:
Tokyo, Japan
Tsuneya Nakajima
Affiliation:
Tokyo, Japan
Yoshio Honda
Affiliation:
Tokyo, Japan
*
Dr Hiroshi Moriyama, The Jikei University of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo 105, Japan.
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Abstract

Forty-seven mucocoeles of the ethmoid and/or sphenoid sinuses (33 males, 14 females) were operated on during the 10-years period from 1980 through 1989. Thirty-seven cases were post-operative mucocoele, while the remaining 10 were so-called primary mucocoeles. None of the cases had a history of facial trauma. In the majority of post-operative cases, the mucocoele develops 15–24 years after initial surgery. Paranasal sinus surgery in young patients (teenagers) may lead to a mucocoele due to post-operative scarring in the surgical wound. The principal symptoms include globe displacement, double vision, headache, deep orbital pain, a mass in the supero-medial quadrant of the orbit, visual disturbance, etc. Sufficient opening of the mucocoele wall by the endonasal approach is recommended for surgical treatment of ethmoidal and sphenoidal mucocoeles

Keywords

Mucocoele

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 1 , January 1992 , pp. 23 - 27
Copyright
Copyright © JLO (1984) Limited 1992

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