FREE FULL TEXTAnahtar Kelimeler: Mukosel; oftalmik komplikasyon; paranazalsinüs.
Objectives: This study aimed to describe ophthalmic
complications of paranasal sinus mucoceles and
principles of treatment.
Patients and Methods: The medical records of 25 paranasal
sinus mucoceles patients (18 males, 7 females;
mean age 35 years; range 20 to 62 years) that had
been treated in two different ear, nose and throat clinics
between the years January 2004 and June 2009 were
evaluated retrospectively. Out of 22 patients of who had
developed internal mucoceles in anterior paranasal
sinuses, diplopia was observed in five, proptosis in four
and partial loss of sight in one. Out of three patients with
posterior paranasal sinus mococeles, two developed
diplopia and one developed proptosis, with loss of sight
in all three. Eight patients were treated using osteoplastic
flap technique and the remaining 17 were treated
using endoscopic sinus surgery.
Results: In only one patient was loss of sight permanent
whereas, in all the other patiens eye complications
Conclusion: In mucoceles that involve the posterior
ethmoid and sphenoid sinuses loss of sight can be
observed often because of their adjacency to the
optic nerves, and loss can be permanent in advanced
disease. It is possible to obtain good results in most
patients treated in time with endoscopic sinus surgery
and osteoplastic flep techniques.