Frontal mucocele mimicking a frontal subcutaneous tumor

Mucoceles are chronic, expanding, mucosa lined pathology of the paranasal sinuses. Frontal mucocele usually presents with the visual complaints such as diplopia, diminution of vision, visual field defect, ptosis, orbital swelling, retro-orbital pain, displacement of eye globe, and proptosis. Very ra...

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Bibliographic Details
Published in:Asian journal of neurosurgery 2017-12, Vol.12 (4), p.760-762
Main Authors: Bijith, Ellath, Mathew, Shaju, Mahadevan, Krishnaswamy
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case studies
Diagnosis
Head and neck cancer
Paranasal sinus diseases
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Summary:Mucoceles are chronic, expanding, mucosa lined pathology of the paranasal sinuses. Frontal mucocele usually presents with the visual complaints such as diplopia, diminution of vision, visual field defect, ptosis, orbital swelling, retro-orbital pain, displacement of eye globe, and proptosis. Very rarely, it can be present as a subcutaneous swelling. This article presents a 58-year-old male patient presenting with an asymptomatic periorbital swelling and a painless forehead mass of 3 years duration. There was a partial ptosis, and an elongated, soft, subcutaneous mass over the forehead. Surgical excision of the mass confirmed the diagnosis of a mucocele. Postoperatively, the patient was asymptomatic. A subcutaneous soft-tissue mass may be the presenting complaint of a frontal mucocele. Careful examination of the surrounding skin may suggest the diagnosis of sinus-related disease and thus direct appropriate investigations.
ISSN:1793-5482
2248-9614
DOI:10.4103/1793-5482.180908