Frontal sinus mucocele with orbital complications: Management by varied surgical approaches
A 60-year-old female presented to OPD of our tertiary care hospital with chief complaints of intermittent diplopia along with intermittent right supraorbital swelling for last 1 year. There was no history of decreased vision, nasal discharge, or nasal obstruction. On physical examination, there was fluctuant swelling present in superomedial region above the right eye. Vision was normal in right eye with full extraocular movements in all directions. Pupillary reaction to light and accommodation were normal. Fundus examination was normal. On anterior rhinoscopy, nose was normal. On contrast-enhanced CT, there was large expansile cystic lesion present involving right frontal sinus containing hypodense contents. Left frontal sinus was normal. Diagnostic nasal endoscopy was unremarkable.\nThe patient was posted for endoscopic marsupilization of the mucocele. The axillary flap approach for frontal sinus as advocated by Peter Wormald was used in this patient. The mucocele sac was incised and the mucus was sucked out. Mucosa was carefully wrapped around the opening which was made for enlargement of frontal sinus ostia. An endotracheal tube was used for stenting the frontal sinus. The endotracheal tube was removed after 6 weeks. The patient is on regular follow-up for last 6 months and is completely asymptomatic till date.