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Medicina clínica y social

On-line version ISSN 2521-2281


OCAMPOS, Carlos Jorge; PIRES-CARDOZO, Franciso Adrián  and  MENA-CANATA, Carlos Enrique. Frontal mucocele: case report. Med. clín. soc. [online]. 2021, vol.5, n.3, pp.162-166. ISSN 2521-2281.

Mucoceles of the paranasal sinuses are expansive tumors that show different presentations and locations. They are benign tumors of slow growth, but due to their expansion they cause erosion and displacement of adjacent structures. The age of presentation varies from 40 to 60 years old, with no gender predilection. Approximately 60-65% of cases affect the frontal paranasal sinuses. The clinical presentation is variable and depends on the size of the mucocele, as well as its location and time of evolution, they can remain asymptomatic for a long time and debut with some complication; In frontal mucoceles the most frequent findings are frontal headache, facial asymmetry, ocular alterations such as diplopia, ocular proptosis, decreased ocular mobility, reduced visual acuity, and even total loss of vision in the affected eye; intracranial expansion can also lead to cerebrospinal fluid fistulas, meningitis and brain abscesses. In the diagnosis it is essential to request the radiological pair of tomography and magnetic resonance with contrast to determine the real extension of the mucocele, the affectation of the adjacent structures and to opt for the best possible therapy. This pathology is of surgical management, the objective is to open the mucocele cavity to achieve an adequate ventilation and drainage of the affected sinus, currently the nasal endoscopic or combined surgery is the most used therapy.

Keywords : Spina bifida occulta; Spinal Dysraphism; Neural tube defects.

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