Minimally Invasive Endoscopic Approach towards Management of Frontoethmoidal Mucocoele with Lateral Displacement of Eyeball and Proptosis - A Case Report.

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.