Surgical Treatment of the Frontal Sinus Lateral Mucocele with Multiple Sinus Bony Wall Defects

Paranasal sinus mucocele is a cystic formation filled with mucus, resulting from the obstruction of sinus ostium. The most common place of mucocele localization is frontal sinus, which is due to its specific anatomical architecture and a narrow passage of the frontal recess. Approximately in 70% mucocele localizes in a frontal sinus. In this article we present the case report on 37 years old woman who applied to clinic of aesthetic medicine to get consultation about blepharoplasty possibilities. Patient complained on a mild bilateral upper eyelid ptosis, more significant on the left side. She also complained on recurrent nasal blockage, excessive nasal discharge, facial pain and pressure on her left side supraorbitally. Computered tomography (CT) for paranasal sinuses has been ordinated and lateral mucocele in a the left frontal sinus was diagnosed, as well as, inflammatory process in the left maxillary and ethmoidal sinuses. Investigation and treatment options for this patient are discussed in this article.