Recurrent frontal sinus mucocele in a loner frontal cell

• Author Details:   
• Raman Wadhera
• Aarushi Vashist ^*
• P Sahana
• Keshav Gupta

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A frontal sinus mucocoele is a cystic lesion full of thick mucus in the frontal sinuses. It develops when the opening of a paranasal sinus becomes obstructed because of trauma, infection, chronic sinusitis, polyps, malignancy, bony tumors, or congenital anomalies. As it increases in size, a mucocoele can make its way through the surrounding bone or discharge through the skin. Here we present a case of 45-year-old male who developed swelling in the left supraciliary region. CECT scan and MRI was done. It revealed soft tissue enhancing lesion in the left frontal sinus region. Marsupilization was done previously but the swelling recurred after 3 months. Open frontal sinus exploration under general anaesthesia was done removing all the walls of the sac along with affected frontal bone. Patient improved symptomatically after this operation.

Keywords: Frontal sinus, Diabetic, Loner frontal cell, Mucocoele.