Frontal Mucopyocoeles: The Role of Open Surgery in the Era of Endoscopic Sinus Surgery: A Report of Two Cases

  • Aditya Moorthy
  • Sunil Narayan Dutt
  • Shreya KrishnaEmail author
  • P. Subramanya Rao
  • H. K. Susheen Dutt
  • Prithvi Bachalli
Case Report


Endonasal approach for frontal sinus pathology has become the gold standard for sinus surgery. However, cases recurrent and refractory to functional endoscopic sinus surgery (FESS) need to be dealt with conventional (open) techniques.

Mucoceles of the paranasal sinuses are “benign, chronic, expanding lesions, filled with sterile mucus and epithelial cells” [1]. The term “Mucocele” was coined by Rollet in 1896. Mucoceles of paranasal sinuses were first described by Langenback [2].

Mucoceles are caused by obstruction of the sinus ostium leading to accumulation of the mucous secretion within the sinus [3]. The two most frequent causes of frontal sinus mucoceles are trauma and inflammation [1]. An infected mucocele is termed a mucopyocele. They behave like expansile cystic lesions, eroding the surrounding bone and displacing the adjacent structures, even extending intracranially. Signs and symptoms include frontal pain, swelling, exophthalmos, diplopia and loss of vision [4]....



This research did not receive any specific Grant from funding agencies in the public, commercial or not-for-profit sectors.

Compliance with Ethical Standards

Conflict of interest

The author declares that they have no conflict of interest.


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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  1. 1.Department of Head and Neck SurgeryRangadore Memorial HospitalBengaluruIndia
  2. 2.Department of ENT & Head and Neck SurgeryApollo HospitalsBangaloreIndia
  3. 3.Department of ENTRangadore Memorial HospitalBengaluruIndia

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