Maxillary Sinus Mucopyocele:  About an Endoscopic Management

Y. Lakhdar; M. Hakimi; O. Benhoumad; Y. Rochdi; A. Raji

doi:10.24018/ejmed.2021.3.3.810

Case Study

Y. Lakhdar

Mohammed VI University Hospital Center, Morocco

* Corresponding author

M. Hakimi

Mohammed VI University Hospital Center, Morocco

O. Benhoumad

Mohammed VI University Hospital Center, Morocco

Y. Rochdi

Mohammed VI University Hospital Center, Morocco

A. Raji

Mohammed VI University Hospital Center, Morocco

10.24018/ejmed.2021.3.3.810

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Submitted 2021-04-11
Published 2021-05-03

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Abstract

Introduction: Mucocele is a benign but expansive cystic formation, lined by a respiratory epithelium. When its content is infected, it is called a mucopyocele. It usually develops in the frontal-ethmoid complex. The maxillary sinus location is exceptional.

Case report: a 43 year old man, presented with chronic unilateral nasal obstruction, purulent rhinorrhea and anosmia. Rhinoscopy showed a bulge in the middle meatus. The computed tomography (CT) showed complete filling of the left maxillary with low-density mass. Magnetic resonance imaging (MRI) confirmed the diagnosis of mucpyeocele of the left maxillary sinus. Patient underwent endoscopic endonasal marsupialization with complete recovery.

Conclusion: Mucopyocele of the maxillary sinus is a benign rare lesion, however destructive. A radiological assessment is essential to guide the choice of surgical treatment. The endonasal route remains the reference treatment for this pathology.

Keywords: maxillary sinus, mucopyocele, mucocele.

References

Baurmash HD. Mucoceles and ranulas. J Oral Maxillofac Surg. 2003;61:369–78.
Google Scholar

Mucopyocele of the maxillary sinus Avinash Kshar, Abhijeet Patil, Hemant Umarji, and Sonali Kadam 2014 Jan-Feb; 11(1): 119–123.
Google Scholar

Mucocele and mucopyocele Gabriel Zada M., Beatriz S. Lopes Atlas of Sellar and Parasellar Lesions pp 411-414.
Google Scholar

Bahadir O, Imamoglu M, Bektas D. Massive concha bullosa pyocele with orbital extention. Auris Nasus Larynx 2006; 33: 195–198.
Google Scholar

Ozturk K, Yaman H, Arbag H, Koroglu D, Toy H. Submandibular gland mucocele: Report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:732–5.
Google Scholar

Kennedy DW, Josephson JS, Zinreich SJ, Mattox DE, Goldsmith MM. Endoscopic sinus surgery for mucoceles: a viable alternative. Laryngoscope. 1989;99:885–889. [
Google Scholar

Maxillary sinus mucoceles: clinical presentation and long-term results of endoscopic surgical treatment. Busaba NY1, Salman SD. 1999 Sep;109(9):1446-9.
Google Scholar

Barry J. Edison, Dale R. Meyer. Nasolacrimal Duct Obstruction and Dacryocystocele Associated with a Concha Bullosa Mucocele. Ophthalmology 2000;107:1393–1396.
Google Scholar

Marrianowski R, Farragi M, Zerah M, Brunelle F, Manach Y. Subdural empeyema complicating a concha bullosa pyocele. Int J Ped Otorhinolaryngol 2002; 65:249–252.
Google Scholar

Ketenci I, İlhan Şahin M, Vural A. Mucopyocele of the Concha Bullosa: A Report of Two Cases. Erciyes Med J 2013; 35(3): 157-60.
Google Scholar

Brook I, Frazier EH. The microbiology of mucopyocele. Laryngoscope. 2001;111:1771–3.
Google Scholar

Martel-Martín M, Gras-Cabrerizo JR, Bothe-González C, Montserrat-Gili JR, De Juan-Delago M, Massegur-Solench H. Clinical analysis and surgical results of 58 paranasal sinus mucoceles. Acta Otorrinolaringol Esp 2015;66:92-7.
Google Scholar

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Maxillary Sinus Mucopyocele: About an Endoscopic Management. (2021). European Journal of Medical and Health Sciences, 3(3), 1-3. https://doi.org/10.24018/ejmed.2021.3.3.810

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Vol. 3 No. 3 (2021)

[1] Baurmash HD. Mucoceles and ranulas. J Oral Maxillofac Surg. 2003;61:369–78.
Google Scholar

[2] Mucopyocele of the maxillary sinus Avinash Kshar, Abhijeet Patil, Hemant Umarji, and Sonali Kadam 2014 Jan-Feb; 11(1): 119–123.
Google Scholar

[3] Mucocele and mucopyocele Gabriel Zada M., Beatriz S. Lopes Atlas of Sellar and Parasellar Lesions pp 411-414.
Google Scholar

[4] Bahadir O, Imamoglu M, Bektas D. Massive concha bullosa pyocele with orbital extention. Auris Nasus Larynx 2006; 33: 195–198.
Google Scholar

[5] Ozturk K, Yaman H, Arbag H, Koroglu D, Toy H. Submandibular gland mucocele: Report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:732–5.
Google Scholar

[6] Kennedy DW, Josephson JS, Zinreich SJ, Mattox DE, Goldsmith MM. Endoscopic sinus surgery for mucoceles: a viable alternative. Laryngoscope. 1989;99:885–889. [
Google Scholar

[7] Maxillary sinus mucoceles: clinical presentation and long-term results of endoscopic surgical treatment. Busaba NY1, Salman SD. 1999 Sep;109(9):1446-9.
Google Scholar

[8] Barry J. Edison, Dale R. Meyer. Nasolacrimal Duct Obstruction and Dacryocystocele Associated with a Concha Bullosa Mucocele. Ophthalmology 2000;107:1393–1396.
Google Scholar

[9] Marrianowski R, Farragi M, Zerah M, Brunelle F, Manach Y. Subdural empeyema complicating a concha bullosa pyocele. Int J Ped Otorhinolaryngol 2002; 65:249–252.
Google Scholar

[10] Ketenci I, İlhan Şahin M, Vural A. Mucopyocele of the Concha Bullosa: A Report of Two Cases. Erciyes Med J 2013; 35(3): 157-60.
Google Scholar

[11] Brook I, Frazier EH. The microbiology of mucopyocele. Laryngoscope. 2001;111:1771–3.
Google Scholar

[12] Martel-Martín M, Gras-Cabrerizo JR, Bothe-González C, Montserrat-Gili JR, De Juan-Delago M, Massegur-Solench H. Clinical analysis and surgical results of 58 paranasal sinus mucoceles. Acta Otorrinolaringol Esp 2015;66:92-7.
Google Scholar

Maxillary Sinus Mucopyocele: About an Endoscopic Management

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