Alaraifi Abdulaziz K, Alrusayyis Danah F, Alzuwayed Abdullah, Alobaid Fahad, AlRajeh Mohammed, Alhedaithy Riyadh
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
J Surg Case Rep. 2021 Oct 31;2021(10):rjab491. doi: 10.1093/jscr/rjab491. eCollection 2021 Oct.
The frontal sinus is the most common site for paranasal mucoceles, resulting in potentially threatening intraorbital or intracranial complications. Surgical drainage of mucoceles is the mainstay of treatment, which can be achieved usually through open or endoscopic transnasal approaches. Transorbital endoscopic surgery is a relatively novel approach to selective skull base lesions with limited data in the literature. It could be utilized as a safe and effective alternative approach in managing frontal sinus lesions when the endoscopic transnasal access alone is insufficient or inadequate. Here, we present a case of an isolated lateral left frontal mucocele that was managed successfully using an endoscopic transorbital approach alone with complete resolution of symptoms during a 10-month follow-up period.
额窦是鼻旁黏液囊肿最常见的发病部位，可导致潜在威胁生命的眶内或颅内并发症。黏液囊肿的手术引流是主要治疗方法，通常可通过开放手术或鼻内镜经鼻入路实现。经眶内镜手术是一种相对新颖的治疗选择性颅底病变的方法，文献中的相关数据有限。当单纯鼻内镜经鼻入路不足或不合适时，它可作为一种安全有效的替代方法用于处理额窦病变。在此，我们报告一例孤立的左侧额窦外侧黏液囊肿病例，该病例仅通过经眶内镜入路成功治疗，在10个月的随访期内症状完全缓解。
