Paranasal sinus mucoceles with skull-base and/or orbital erosion: Is the endoscopic approach sufficient?
Received 12 April 2008; received in revised form 24 June 2008; accepted 1 July 2008.
Objective
The objective of this study was to review the management of paranasal sinus mucoceles with skull-base and/or orbital erosion in the endoscopic era.
Study Design
A retrospective data analysis.
Methods
A chart review was performed on 57 patients treated from January 2001 to March 2007.
Results
The average age at the time of presentation was 50.6 years with a 1:1 male: female ratio. The most common site was the frontal sinus (54.4%), followed by frontoethmoid (29.8%) and sphenoid (8.8%). Areas of erosion included skull base (40.4%), orbit (50.9%), and both orbit and skull base (8.8%). Endoscopic drainage using image guidance was used in all 57 patients without complications. Fifty-six cases (98.2%) had a functionally patent mucocele opening with a median follow-up of 15 months.
Conclusions
The endoscopic approach can be safely used for the management of mucoceles with skull-base and/or orbital erosion. Open adjunct approaches can be avoided in most cases.
aOregon Sinus Center, Oregon Health and Sciences University, Portland, OR
bDepartment of Otorhinolaryngology–Head and Neck Surgery, University of Texas Medical School at Houston, Houston, TX
cDivision of Oculoplastics, Cole Eye Institute, Cleveland, OH
dSection of Nasal and Sinus Disorders, Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH
Corresponding authors: Pete S. Batra, MD, Section of Nasal and Sinus Disorders, Head and Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A71, Cleveland, OH 44195
ABSTRACT