Open AccessMaxillary Sinus Mucopyocele: About an Endoscopic Management
Author(s) -
Youssef Lakhdar,
Mehdi Hakimi,
O. Benhoumad,
Youssef Rochdi,
Alaleh Raji
Publication year - 2021
Publication title -
european journal of medical and health sciences
Language(s) - English
Resource type - Journals
ISSN - 2593-8339
DOI - 10.24018/ejmed.2021.3.3.810
Subject(s) - medicine , maxillary sinus , mucocele , marsupialization , anosmia , rhinorrhea , magnetic resonance imaging , ethmoid bone , radiology , surgery , sinus (botany) , meatus , lesion , cyst , nasal cavity , pathology , botany , disease , covid-19 , biology , infectious disease (medical specialty) , genus
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.