Nasal septum mucocele in a patient with two other mucoceles of the paranasal sinuses: late complications of maxillofacial trauma
| Autor: | Sérgio Vilarinho, F. Carvalho Moreira, Cátia Azevedo, A. Fontes Lima |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry nasal obstruction General Medicine lcsh:Otorhinolaryngology medicine.disease lcsh:RF1-547 Surgery Paranasal sinuses medicine.anatomical_structure nasal septum mucocele otorhinolaryngologic diseases Nasal septum midline nasal lesion Medicine Mucocele mucocele business |
| Zdroj: | Rhinology Online, Vol 3, Pp 152-156 (2020) |
| ISSN: | 2589-5613 |
| Popis: | Introduction: Mucoceles are pseudocystic lesions that, despite being benign, may cause diverse symptoms related to its expansive nature. Although their most common location in the nose is the frontoethmoidal sinuses, they can occur in other sites. The authors present a case of a patient with a nasal septum mucocele besides mucoceles in other locations, reviewing the literature regarding these entities. Case presentation: The patient, who had a history of a previous major maxillofacial trauma, was referred to Otorhinolaryngology evaluation because of a long-standing history of nasal obstruction. On nasal endoscopy, a bilateral posterior nasal septum bulging at the choanae level was observed; an irregularity on the external wall of the maxillary sinus was noted in the palpation of the midface. Computed tomography (CT) showed a posterior nasal septum hypodense lesion besides two other lesions with similar features, one in the maxillary sinus, and another in the anterior ethmoid. A magnetic resonance imaging followed, and confirmed the lesions, that were hyperintense in T1 and did not show enhancement with gadolinium. A surgical approach, namely marsupialization through endoscopic sinus surgery, was performed. Histopathology confirmed the three lesions as mucoceles. The patient reported nasal obstruction complaints resolution; he has been in follow-up with no signs of relapse. Discussion and conclusion: Despite being extremely rare, nasal septum mucoceles should be remembered when evaluating midline nasal lesions, and included in the differential diagnosis. When evaluating patients with a history of major maxillofacial trauma other atypical findings may be present. |
| Databáze: | OpenAIRE |
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