Reconstruction of Large Orbital Floor Defect Caused by Maxillary Sinus Mucocele.
10.7181/acfs.2017.18.3.197
- Author:
Seung Bum PYO
1
;
Jin Kyung SONG
;
Hong Sil JU
;
Seong Yoon LIM
Author Information
1. Department of Plastic and Reconstructive Surgery, Hanil General Hospital, Seoul, Korea. cococoeye@gmail.com
- Publication Type:Case Report
- Keywords:
Maxillary sinus;
Mucocele;
Exophthalmos
- MeSH:
Diplopia;
Exophthalmos;
Humans;
Male;
Maxillary Sinus*;
Middle Aged;
Mucocele*;
Orbit*
- From:Archives of Craniofacial Surgery
2017;18(3):197-201
- CountryRepublic of Korea
- Language:English
-
Abstract:
Maxillary sinus mucocele can occur due to many medical factors such as chronic infection, allergic sinonasal disease, trauma, and previous surgery. However, it occurs mainly after Caldwell-Luc operation, usually more than 10 years after surgery. There are a few cases of maxillary sinus mucocele with ocular symptoms. Also, a case causing ocular symptoms because of invasion to the orbital floor is rare. Therefore, we report a case of a 55-year-old male patient who underwent Caldwell-Luc operation about 30 years ago. Then, symptoms such as exophthalmos, diplopia, and visual disturbance developed suddenly 3 months prior to admission. Computed tomography showed a cyst invading the orbital floor which resulted in eyeball deviation. The orbital floor defect measured approximately 2.5×3.3 cm. Maxillary sinus mucocele was removed through an endoscopic approach. After this, we reconstructed the orbital floor through a subciliary incision. Observation was carried out after three years, and ocular symptoms such as diplopia and exophthalmos did not recur.
