Endoscopic sinus surgery for mucoceles: A viable alternative

TLDR

Functional endoscopic surgery offers a minimally invasive, low‑morbidity approach for paranasal sinus mucoceles, enables direct endoscopic visualization for accurate follow‑up, and preserves CT imaging capability unlike sinus obliteration. The study reports preliminary experience with endoscopic sinus surgery in 18 mucoceles. The cohort included patients with preoperative proptosis and diplopia, Pott's puffy tumor, and posterior frontal sinus table erosion, all treated with endoscopic sinus surgery. Fifteen patients were successfully treated endoscopically, two lesions required external surgery, one patient had persistent disease, and no recurrence has been observed during up to 42 months of follow‑up.

Abstract

Abstract Functional endoscopic surgery affords the potential for dramatically reducing operative morbidity of surgery for paranasal sinus mucoceles by offering a minimally invasive approach under local anesthesia. Following surgery, direct endoscopic visualization of the area enables accurate follow‐up. Unlike sinus obliteration, the ability to accurately image the sinus by CT is also preserved. This paper presents our preliminary experience with 18 mucoceles in which endoscopic sinus surgery was attempted. Five patients had preoperative proptosis and diplopia, three had Pott's puffy tumor and five had erosion of the posterior table of the frontal sinus. Fifteen patients were satisfactorily treated endoscopically, two lesions could not be satisfactorily approached and required external surgery, and one patient had persistent disease, No disease recurrence has been noted to date with endoscopic follow‐up of up to 42 months.