Open AccessFrontal mucocele mimicking a frontal subcutaneous tumor
Author(s) -
Ellath Valappil Bijith,
Shaju Mathew,
Krishnaswamy Mahadevan
Publication year - 2017
Publication title -
asian journal of neurosurgery
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/1793-5482.180908
Subject(s) - mucocele , medicine , forehead , ptosis , diplopia , asymptomatic , frontal sinus , surgery , orbit (dynamics) , engineering , aerospace engineering
Mucoceles are chronic, expanding, mucosa lined pathology of the paranasal sinuses. Frontal mucocele usually presents with the visual complaints such as diplopia, diminution of vision, visual field defect, ptosis, orbital swelling, retro-orbital pain, displacement of eye globe, and proptosis. Very rarely, it can be present as a subcutaneous swelling. This article presents a 58-year-old male patient presenting with an asymptomatic periorbital swelling and a painless forehead mass of 3 years duration. There was a partial ptosis, and an elongated, soft, subcutaneous mass over the forehead. Surgical excision of the mass confirmed the diagnosis of a mucocele. Postoperatively, the patient was asymptomatic. A subcutaneous soft-tissue mass may be the presenting complaint of a frontal mucocele. Careful examination of the surrounding skin may suggest the diagnosis of sinus-related disease and thus direct appropriate investigations.