Section: 
From practice
From practiceObservation of a patient with simultaneous finding in the frontal sinus
of osteoma and mucocele
A. O. Gyusan (1), B. B. Uraskulova (1)
(1) Medical Institute of the North Caucasus State Academy,Karachay-Cherkess Republican Clinical Hospital,Cherkessk, 369000, Russia
UDK: 616.216.2-006.34.03-006.03
DOI: https://doi.org/10.18692/1810-4800-2020-4-90-93
ABSTRACT
The article presents a clinical case of successful treatment of a patient with an osteoma and mucocele in her left frontal sinus, with the development of intraocular complications: diplopia, exophthalmos, ptosis of the upper eyelid, restriction of the movement of the eyeball. After a thorough examination of the patient, consultations with an ophthalmologist, neurologist and CT scan and diagnosis, the patient underwent a frontotomy under endotracheal anesthesia. During the opening of the frontal sinus, a U-shaped periosteal flap was preserved, which is used later for plastic surgery of a postoperative bone defect. Under video endoscopic control, the membrane and contents of the mucocele and osteoma were removed, and the frontal-nasal anastomosis was controlled and expanded. The bone defect in the anterior wall of the frontal sinus was removed by alloplasty with a simulated polytetrafluoroethylene (ecoflon) plate fixed with a U-shaped periosteum graft. As a result of the operation, almost all intraocular complications were successfully eliminated. Histological examination of the material removed from the sinus confirmed the presence of a compact osteoma and chronically inflamed mucosa. This clinical observation is of interest in the rarity of simultaneously finding an osteoma and a mucocele in the frontal sinus, and the possibility of mucocele formation due to obstruction of the fronto-nasal anastomosis with an osteoma. The possibility of one of the methods for alloplasty of a bone defect is presented.
Publication date:
24.08.2020
Keywords:
frontal sinus osteoma, mucocele, ecoflon.
For citation:
Gyusan A. O., Uraskulova B. B. Observation of a patient with simultaneous finding in the frontal sinus of osteoma and mucocele. Rossiiskaya otorinolaringologiya. 2020;19(4):90–93. https://doi.org/10.18692/1810-4800-2020-4-90-93