Frontal Mucocele Masked as Upper Lid Abcess- A Case Report
- Author:
Ng WL
;
Umi Kalthum MN
;
Jemaima CH
;
Norshamsiah MD
- Publication Type:Case Reports
- Keywords:
frontal sinus;
mucocele;
mucopyocoele;
orbit;
upper lid abcess
- MeSH:
Mucocele
- From:Journal of Surgical Academia
2016;6(1):43-45
- CountryMalaysia
- Language:English
-
Abstract:
Frontal mucocele is not commonly masked as upper lid abscess.A 72-year-old Chinese man with underlying
hyperthyroidism complained of left upper eyelid swelling of 6 months duration. The swelling had persisted and
worsen when intravenous antibiotic was changed oral type. Visual acuity on presentation was hand motion and
reverse relative afferent pupillary defect was present. Because the swelling was large and resulted in mechanical
ptosis and ophthalmoplegia, a CT imaging was performed, which showed huge left frontal mucocele eroding the
supereromedial orbital rim. The left globe was displaced inferolaterally but there was no extension into brain
parenchyma. Fundus examination showed pale optic disc with dull macula. Old laser marks were seen at peripheral
fundus. Referral to ortholaryngologist was made and endoscopic sinus surgery and evacuation of mucopyocoele was
done. Culture and sensitivity of the fluid showed no organism. He recovered well postoperatively with additional two
weeks of antibiotics. We highlight the necessity of surgical drainage of mucocele, following a course of antibiotic.
- Full text:P020160607464564119400.pdf
