Rural Health Centre, Lilla, Jhelum, Pakistan.
Department of Otorhinolaryngology, Shaikh Zayed Hospital, Lahore, Pakistan.
J Pak Med Assoc. 2022 Sep;72(9):1868-1870. doi: 10.47391/JPMA.4335.
Pyocoeles of the paranasal sinuses are pus-filled cavities seen in the sinuses and develop from the infection of the mucocoeles. Pyocoeles most commonly form in the frontal sinus. Endoscopic Sinus Surgery is currently the mainstay of the treatment. We present the case of an 85-year-old female who presented to the ENT OPD of Jinnah Hospital/AIMC, Lahore, in October 2017 with complaints of progressive symptoms of intractable left frontal pain, double vision, and an associated swelling below the medial half of the left eyebrow. A CT scan was done and a diagnosis of extensive frontal pyocoele was made. She was treated successfully with an external approach and remained without any complications till 13-month follow-up after surgery; exceptional cosmetic results were achieved. We wish to bring attention to the possibility of an external approach being used as a primary intervention, if deemed appropriate.
鼻窦积脓是鼻窦内充满脓液的腔隙，由黏液囊肿感染引起。积脓最常发生在额窦。目前，内镜鼻窦手术是主要的治疗方法。我们报告了一例 85 岁女性患者的病例，她于 2017 年 10 月因进行性难治性左侧额部疼痛、复视和左侧眉毛内半侧相关肿胀到拉合尔真纳医院/ A.I.M.C 的耳鼻喉科门诊就诊。进行了 CT 扫描，诊断为广泛额窦积脓。她成功地接受了外路手术治疗，并且在手术后 13 个月的随访期间没有任何并发症；获得了极佳的美容效果。我们希望引起人们的注意，如果认为合适，可以将外路手术作为主要干预手段。
