Unusual case of frontal mucocele presenting with forehead ulcer
| Autor: | S Altintas Kaksi, Mustafa Özdemir, Ali Balevi, M Kaski, Aslı Çakir |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Diplopia
medicine.medical_specialty Frontal sinus integumentary system business.industry Fistula Frontal Mucocele Dermatology General Medicine Skin ulcer medicine.disease eye diseases Surgery medicine.anatomical_structure Frontal Ulcer Ptosis medicine Forehead Mucocele medicine.symptom business frontal mucocele frontocutaneous fistula frontal ulcer Sinus (anatomy) Frontocutaneous Fistula |
| Zdroj: | Altintas Kaksi, S; Kaski, M; Balevi, A; Ozdemir, M; & Cakir, A. (2014). Unusual case of frontal mucocele presenting with forehead ulcer. Dermatology Online Journal, 20(11). Retrieved from: http://www.escholarship.org/uc/item/8g60g2mg |
| Popis: | Paranasal mucoceles are benign slow-growing paranasal sinus lesions, which usually develop following the obstruction of the sinus ostiu. They most frequently occur in the frontal sinus. Frontal mucoceles are expansive lesions usually causing visual clinical signs and symptoms such as diminution of vision, visual field defects, diplopia, orbital swelling, retroorbital pain, displacement of eye globe, ptosis, and proptosis. When the frontal mucocele extends intracranially, it can manifest with meningitis, meningoencephalitis, intracranial abscess, seizures, or cerebrospinal fluid fistula. Very rarely it can cause forehead swelling. We report an 80-year-old woman presenting with a forehead skin ulcer and painless subcutaneous forehead induration. Histopathologic examination revealed mucin deposition and inflammation. Computerized tomography (CT) and magnetic resonance imaging (MRI) scans showed a mass originating from the frontal sinus with frontal bony defect and frontocutaneous fistula. Surgical excision of the mass confirmed the mucocele diagnosis. In this article, we present a case of frontocutaneous fistula and skin ulcer, which is an unexpected complication of frontal mucocele. We propose that in the case of a localized non-healing ulcerated forehead skin lesions, mucocele should be considered in the differential diagnosis. |
| Databáze: | OpenAIRE |
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