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ORIGINAL ARTICLE
Year : 2012  |  Volume : 28  |  Issue : 2  |  Page : 80-84

Endoscopic management of a pediatric nasoethmoidal mucocele with intraorbital extension


Department of Otorhinolaryngology, Mansoura University Hospital, Mansoura University, Mansoura, Egypt

Correspondence Address:
Hesham Mohammad Eladl
Department of Otorhinolaryngology, Mansoura University Hospital, Mansoura University, 35516 Mansoura
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.7123/01.EJO.0000413109.67873.61

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Objective

To evaluate the transnasal endoscopic marsupialization of a pediatric nasoethmoidal mucocele with intraorbital extension in terms of technique, difficulty, and surgical outcome.

Design

Prospective study.

Patients and methods

Seven patients presented with a mucocele with intraorbital extension; they ranged in age from 8 to 14 years (average 11 years), and were treated using the transnasal endoscopic approach from March 2008 to March 2010. All patients underwent transnasal endoscopic marsupialization and were monitored clinically, radiologically, and endoscopically for a mean follow-up period of 15.3 months.

Results

Postoperative nasal examination showed no findings with improved orbital manifestations in all cases. Also, nasal congestion, obstruction, and postnasal discharge disappeared completely. Postoperative computed tomography evaluation indicated a significant improvement on comparison with the preoperative computed tomography score. No major complications were found in the study.

Conclusion

Transnasal endoscopic marsupialization of a pediatric mucocele with intraorbital extension is a safe technique and can be carried out successfully. Combined intensive medical treatment with surgery is important in a mucocele with an orbital manifestation. Nevertheless, this technique requires good experience with the relevant anatomy in a pediatric age group.



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