Endoscopic treatment and management of frontalethmoidal mucopyocele with orbital extension: a case report

The aim of this case report was to report the presentation, the management and the treatment of extensive frontoethmoidal (FOE) mucopyocele. In this case report the authors present the clinical case of a 50-year old woman that came in to the emergency room with acute clinic symptom: esoftalmic and with righteye hypomobility, pain, diplopic, without alteration of optical nerve functionality. With TC and RM exams, an extended monolateral mass at the basemant on the right orbit and perifocal bones profile deformation was identified. As a result of these characteristics an Endoscopic Surgery treatment was chosen. The patient is currently free of any clinical symptoms, she has completely reacquired visual function, without intra or post surgical complications. The mucopyocele can interest every paranasal sinus. In this case report we analyzed the treatment of the frontoethmoidal mucopyocele with endonasal endoscopic surgery that permitted to avoid coronal surgery, wich is considered more invasive, along with a higher probability of complications (liquorrea) and eventual aesthetic problems. The case proposed, evidences the necessity of modern surgeon to include is their capabilities those of alternative surgery techniques that are much more efficient.