Endoscopic approach for a delayed post-traumatic ethmoidal mucocele: a technical note. (2nd January 2019)

• Record Type: Journal Article
• Authors: Messerer, Mahmoud; Cossu, Giulia; Daniel, Roy Thomas
• Is Part Of: British journal of neurosurgery. Volume 33:Number 1(2019)
• Page Start: 107
• Page End: 109
• Publication Date: 2019-01-02
• Subjects: Ethmoidal mucocele -- post-traumatic mucocele; endoscopic endonasal approach -- transsphenoidal approach; Nervous system -- Surgery -- Periodicals; 617.48
• DOI: 10.1080/02688697.2017.1297770
• Languages: English
• ISSNs: 0268-8697

Abstract

Abstract: Objective: Delayed post-traumatic mucoceles are rare. We describe the surgical treatment of a post-traumatic ethmoidal mucocele with intra-orbital extension. Method: A uninostril endoscopic endonasal approach (EEA) was performed. The access was contralateral to the lesion to provide a wider lateral view. After a large sphenoid and ethmoid sinuses opening, the collection was drained and the optic nerve precociously identified. The orbital roof was eroded and the frontal dura mater directly visible. Conclusion: The uninostril contralateral approach allows a good exposure of the lateral fields and is conservative towards the nasal mucosa. A favorable skull base anatomy is the prerequisite for its efficacy.