Introduction: Paranasal sinus mucoceles are benign and expansive lesions, related to the accumulation of mucus in an obstructed sinus cavity. The frontal mucocele is the most common, representing 60 to 89% of cases. Despite their benign nature, these lesions can lead to serious complications by extension to orbital or intracranial structures. Clinically, they can manifest as frontal swelling, orbital pain, exophthalmos or visual disturbances, making diagnosis difficult in the early stages. Computed tomography (CT) plays a central role in visualizing the lesion, assessing its extension and guiding management. In a resource-limited setting like Mali, its access remains crucial. This work illustrates the importance of CT through two clinical cases managed at Nianankoro Hospital Fomba of Segou. Methodology: This is a retrospective study of two patients treated between January 2023 and January 2025. Clinical, radiological (CT) and surgical data were analyzed. The diagnosis was based on the identification of expansive hypodense lesions of the frontal sinus with bone erosion. Both patients underwent endonasal surgery. Clinical observations: The first patient, 45 years old, presented with a left frontal swelling that had been evolving for 10 years. CT scan revealed a frontal mucocele with bone lysis and early intracranial extension. Endonasal surgery resulted in a favorable outcome without recurrence. The second patient, 35 years old, followed for chronic frontal sinusitis, presented with right exophthalmos. CT scan showed a mucocele compressive fronto -ethmoidal without bone rupture. The surgical intervention resulted in regression of the signs. Conclusion: These cases illustrate the clinical diversity of frontal mucoceles and confirm the diagnostic value of CT, essential for early and effective management.
| Published in | International Journal of Otorhinolaryngology (Volume 11, Issue 1) |
| DOI | 10.11648/j.ijo.20251101.12 |
| Page(s) | 5-8 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Mucocele, Chronic Sinusitis, CT
| [1] | Konne S, Banabila N, Menye P, et al. Mucoceles of the paranasal sinuses: a report of 12 cases. Health Sci Dis. 2020; 21(9): 45-49. |
| [2] | Courvoisier DS, Borruat FX, Lovblad K, et al. Mucocele Fronto - ethmoidal: diagnosis and treatment. Rev Med Suisse. 2012; 8(337): 1626-1629. |
| [3] | Zouaoui A, Belyamani L, El Bouhmadi K, et al. Sinus mucoceles: role of computed tomography. J Radiol. 2005; 86(6): 635-640. |
| [4] | Schaefer SD. The treatment of frontal sinus mucoceles: minimally invasive procedures. Oper Tech Otolaryngol Head Neck Surg. 2006; 17(1): 28-31. |
| [5] | Hauser R, Wende W, Pirsig W. Pathogenesis of frontoethmoidal mucoceles. Laryngolith Rhinol Otol (Stuttg). 1987; 66(4): 195-198. |
| [6] | Lund VJ, Milroy CM, Beale T. Frontoethmoidal mucoceles: has histopathological analysis. J Laryngol Otol. 1991; 105(5): 342-345. |
| [7] | Kantarci M, Karasen RM, Alper F, et al. Primary paranasal sinus mucoceles: CT and MRI findings. Diagn Interv Radiol. 2005; 11(3): 145-150. |
| [8] | Natvig K, Larsen TE. Mucocele of the paranasal sinuses: A retrospective clinical and histological study. J Laryngol Otol. 1978; 92(12): 1075-1082. |
| [9] | Kennedy DW. Prognosis factors, outcomes and staging in ethmoid sinus surgery. Laryngoscope. 1992; 102 (Suppl 57): 1-18. |
| [10] | Lee TJ, Huang SF, Chang PH, et al. Transnasal endoscopic marsupialization of frontoethmoidal mucoceles: analysis of patient satisfaction. Otolaryngol Head Neck Surg. 2006; 134(4): 657-660. |
| [11] | Yadav SP, Gulia JS, Chauhan A, Goel HC. Primary frontal sinus mucocele: a case report. Ear Nose Throat J. 2006; 85 (8): 514-516. |
| [12] | Courvoisier DS, Turgeon C, Theriault E. Imaging of paranasal sinus mucocele and mucopyocele: Comparison of CT and MRI. J Otolaryngol Head Neck Surg. 2018; 47(1): 63. |
| [13] | Castelnuovo P, Valentini V, Giovannetti F, et al. Endoscopic management of paranasal sinus mucoceles: A 12-year experience. Am J Rhinol. 2000; 14(6): 377-381. |
| [14] | Har -El G. Endoscopic management of 108 sinus mucoceles. Laryngoscope. 2001; 111(12): 2131-2134. |
| [15] | Weber R, Draf W, Keerl R, et al. Osteoplastic frontal sinus surgery with fat obliteration: technique and long- term results using magnetic resonance imaging in 82 patients. Laryngoscope. 2000; 110(6): 1037-1044. |
APA Style
Haidara, A. W., Tounkara, H., Dackouo, D., Fofana, A., Sanogo, H., et al. (2025). The Place of Ct Scan in the Diagnosis of Frontal Mucoceles: A Report on Two Clinical Cases. International Journal of Otorhinolaryngology, 11(1), 5-8. https://doi.org/10.11648/j.ijo.20251101.12
ACS Style
Haidara, A. W.; Tounkara, H.; Dackouo, D.; Fofana, A.; Sanogo, H., et al. The Place of Ct Scan in the Diagnosis of Frontal Mucoceles: A Report on Two Clinical Cases. Int. J. Otorhinolaryngol. 2025, 11(1), 5-8. doi: 10.11648/j.ijo.20251101.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijo.20251101.12,
author = {Abdoul Wahab Haidara and Hamidou Tounkara and David Dackouo and Aminata Fofana and Harouna Sanogo and Ali Dembelé and Boubacar Dramé and Bagouma Traoré and Mariam Sangare and Mahamadou Doumbia and Oumou Coulibaly and Demba Coulibaly and Boubacar Sanogo and Aniessa Kodio and Djibril Samake and Youssouf Sidibé and Sidiki Dao and Fatogoma Issa Kone and Boubacary Guindo and Siaka Soumaoro and Kadiatou Singare and Mohamed Amadou Keita},
title = {The Place of Ct Scan in the Diagnosis of Frontal Mucoceles: A Report on Two Clinical Cases
},
journal = {International Journal of Otorhinolaryngology},
volume = {11},
number = {1},
pages = {5-8},
doi = {10.11648/j.ijo.20251101.12},
url = {https://doi.org/10.11648/j.ijo.20251101.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20251101.12},
abstract = {Introduction: Paranasal sinus mucoceles are benign and expansive lesions, related to the accumulation of mucus in an obstructed sinus cavity. The frontal mucocele is the most common, representing 60 to 89% of cases. Despite their benign nature, these lesions can lead to serious complications by extension to orbital or intracranial structures. Clinically, they can manifest as frontal swelling, orbital pain, exophthalmos or visual disturbances, making diagnosis difficult in the early stages. Computed tomography (CT) plays a central role in visualizing the lesion, assessing its extension and guiding management. In a resource-limited setting like Mali, its access remains crucial. This work illustrates the importance of CT through two clinical cases managed at Nianankoro Hospital Fomba of Segou. Methodology: This is a retrospective study of two patients treated between January 2023 and January 2025. Clinical, radiological (CT) and surgical data were analyzed. The diagnosis was based on the identification of expansive hypodense lesions of the frontal sinus with bone erosion. Both patients underwent endonasal surgery. Clinical observations: The first patient, 45 years old, presented with a left frontal swelling that had been evolving for 10 years. CT scan revealed a frontal mucocele with bone lysis and early intracranial extension. Endonasal surgery resulted in a favorable outcome without recurrence. The second patient, 35 years old, followed for chronic frontal sinusitis, presented with right exophthalmos. CT scan showed a mucocele compressive fronto -ethmoidal without bone rupture. The surgical intervention resulted in regression of the signs. Conclusion: These cases illustrate the clinical diversity of frontal mucoceles and confirm the diagnostic value of CT, essential for early and effective management.},
year = {2025}
}
TY - JOUR T1 - The Place of Ct Scan in the Diagnosis of Frontal Mucoceles: A Report on Two Clinical Cases AU - Abdoul Wahab Haidara AU - Hamidou Tounkara AU - David Dackouo AU - Aminata Fofana AU - Harouna Sanogo AU - Ali Dembelé AU - Boubacar Dramé AU - Bagouma Traoré AU - Mariam Sangare AU - Mahamadou Doumbia AU - Oumou Coulibaly AU - Demba Coulibaly AU - Boubacar Sanogo AU - Aniessa Kodio AU - Djibril Samake AU - Youssouf Sidibé AU - Sidiki Dao AU - Fatogoma Issa Kone AU - Boubacary Guindo AU - Siaka Soumaoro AU - Kadiatou Singare AU - Mohamed Amadou Keita Y1 - 2025/07/07 PY - 2025 N1 - https://doi.org/10.11648/j.ijo.20251101.12 DO - 10.11648/j.ijo.20251101.12 T2 - International Journal of Otorhinolaryngology JF - International Journal of Otorhinolaryngology JO - International Journal of Otorhinolaryngology SP - 5 EP - 8 PB - Science Publishing Group SN - 2472-2413 UR - https://doi.org/10.11648/j.ijo.20251101.12 AB - Introduction: Paranasal sinus mucoceles are benign and expansive lesions, related to the accumulation of mucus in an obstructed sinus cavity. The frontal mucocele is the most common, representing 60 to 89% of cases. Despite their benign nature, these lesions can lead to serious complications by extension to orbital or intracranial structures. Clinically, they can manifest as frontal swelling, orbital pain, exophthalmos or visual disturbances, making diagnosis difficult in the early stages. Computed tomography (CT) plays a central role in visualizing the lesion, assessing its extension and guiding management. In a resource-limited setting like Mali, its access remains crucial. This work illustrates the importance of CT through two clinical cases managed at Nianankoro Hospital Fomba of Segou. Methodology: This is a retrospective study of two patients treated between January 2023 and January 2025. Clinical, radiological (CT) and surgical data were analyzed. The diagnosis was based on the identification of expansive hypodense lesions of the frontal sinus with bone erosion. Both patients underwent endonasal surgery. Clinical observations: The first patient, 45 years old, presented with a left frontal swelling that had been evolving for 10 years. CT scan revealed a frontal mucocele with bone lysis and early intracranial extension. Endonasal surgery resulted in a favorable outcome without recurrence. The second patient, 35 years old, followed for chronic frontal sinusitis, presented with right exophthalmos. CT scan showed a mucocele compressive fronto -ethmoidal without bone rupture. The surgical intervention resulted in regression of the signs. Conclusion: These cases illustrate the clinical diversity of frontal mucoceles and confirm the diagnostic value of CT, essential for early and effective management. VL - 11 IS - 1 ER -
ENT and Head and Neck Surgery Department, Nianankoro Fomba Hospital, Segou, Mali
ENT and Head and Neck Surgery Department, Gabriel Touré University Hospital, Bamako, Mali
Information