Turkish Neurosurgery 1996 , Vol 6 , Num 1-2
Murat DÖŞOĞLU1, Fuat M. MUTLU1, Serdar ARMAĞAN1, Fügen AKER2, Levent ÇELİK3, Mahir TEVRÜZ1
1Haydarpaşa Numune Hospital, Department of Neurosurgery, Istanbul, Türkiye
2Haydarpaşa Numune Hospital, Department of Pathology, Istanbul, Türkiye
3Haydarpaşa Numune Hospital, Department of Radiology, Istanbul, Türkiye
Mucoceles are chronic and benign lesions caused by accumulation and retention of mucus secretion in a sinus due to partial or complete occlusion of the oslium which causes progressive distention of the bony wall because of increased pressure. They occur most commonly in the frontal and ethmoidal sinuses.

We present two patients with anterior frontoethmoidal mucoceles who were treated surgically in our clinic. The clinical presentation was pain and deformation of the frontal region and medial canthus in both cases. Chronic sinusitis was detected as a predisposing factor in one case. A transfrontal approach and obliteration of the oslium followed by aspiration of the sinus content was the treatment of choice in both cases. No recurrence was observed in a one-year follow-up.

Although mucoceles are often seen in ENT practice, intracranial and/or orbital extension may be seen in neurosurgery. But recurrence may occur despite surgical intervention. Surgery offers the only effective treatment; the type of procedure selected depends on the location and extent of the mucocele and the nature of any existing complication. Keywords : Ethmoid sinus, frontal sinus, mucocele, paranasal sinus

Corresponding author : Murat Dösoglu