Large Mucocele of Frontal Sinus Treated with Craniosurgery; A Case Report

Abstract

A 30-year-old male complained of nasal obstruction and left upper eyelid swelling. CT scan and MRI revealed a huge mucocele of the left frontal sinus extending into the left orbit and lateral to the left anterior cranial fossa. Severe paranasal sinusitis was also present. Under general anesthesia, a huge mucocele and severe paranasal sinusitis were operated on by craniosurgery through a coronal incision and by endoscopic endonasal sinus surgery respectively. All the paranasal sinuses were packed with polyps, and bone destruction was evident in the left frontal bone and upper wall of the left orbit. The mucocele was removed easily from the dura mata. Dead spaces were packed with fascia and fatty tissue from the femur and with temporal muscle. The patient recovered uneventful by and continues to be well at present.