Giant mucocele originating from the middle concha in a 5-year-old child: a case report

Journal of Medical Case Reports

Nuray Başsüllü¹  Mehmet Birol Ugur³  Gaffar Aslan² 

[1] Department of Pathology, Faculty of Medicine, Bilim University, Istanbul, Turkey;Department of ENT, Faculty of Medicine, Bilim University, Istanbul, Turkey;GaziÜniversitesi, TıpFakültesi, KBB AD ÖğretimÜyesi, Ankara, Turkey

关键词: Nasal obstruction;    Mucocele;    Middle concha;    Endoscopic nasal surgery;    Computed tomography;    Child;   

Others  :  825128
DOI  :  10.1186/1752-1947-7-246

 received in 2013-03-12, accepted in 2013-08-20,  发布年份 2013

【 摘 要 】

Introduction

Mucoceles are mucus-filled, epithelial-lined sacs that slowly develop in the paranasal sinuses when sinus or concha bullosa drainage is obstructed by inflammatory processes, trauma, or prior surgery. They are extremely rare in children. Symptoms usually arise from the nasal obstruction or compression of neighboring structures.

Case presentation

This case report describes a 5-year-old Turkish boy with a 3-year history of nasal obstruction. A computed tomography scan showed a well-defined soft tissue density lesion, seemingly originating in the region of the middle concha and was suggestive of a middle concha mucocele. The mass was removed by endoscopic sinus surgery.

Conclusions

In the case of a child presenting with nasal obstruction, mucocele should be remembered in the differential diagnosis of intranasal tumors. Computed tomography and magnetic resonance imaging are helpful in making the diagnosis and endoscopic nasal surgery has proven successful in the treatment.

【 授权许可】

   
2013 Aslan et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】

• [1]Evans C: Aetiology and treatment of fronto-ethmoidal mucocele. J Laryngol Otol 1981, 95:361-375.
• [2]Diaz MC, Schmidt RJ: Ethmoid mucocele presenting as an orbital mass. Pediatr Emerg Care 2008, 24:845-846.
• [3]Loehrl TA, Leopold DA: Sphenoethmoidal mucocele presenting with bilateral visual compromise. Ann Otol Rhinol Laryngol 2000, 109:608-610.
• [4]Nicollas R, Facon F, Sudre-Levillain I, Forman C, Roman S, Triglia JM: Pediatric paranasal sinus mucoceles: etiologic factors, management and outcome. Int J Pediatr Otorhinolaryngol 2006, 70:905-908.
• [5]Alvarez RJ, Liu NJ, Isaacson G: Pediatric ethmoid mucoceles in cystic fibrosis: long-term follow-up of reported cases. Ear Nose Throat J 1997, 76:538-539. 543–536
• [6]Hartley BE, Lund VJ: Endoscopic drainage of pediatric paranasal sinus mucoceles. Int J Pediatr Otorhinolaryngol 1999, 50:109-111.
• [7]Haloi AK, Ditchfield M, Maixner W: Mucocele of the sphenoid sinus. Pediatr Radiol 2006, 36:987-990.
• [8]Moriyama H, Nakajima T, Honda Y: Studies on mucocoeles of the ethmoid and sphenoid sinuses: analysis of 47 cases. J Laryngol Otol 1992, 106:23-27.
• [9]Delfini R, Missori P, Iannetti G, Ciappetta P, Cantore G: Mucoceles of the paranasal sinuses with intracranial and intraorbital extension: report of 28 cases. Neurosurgery 1993, 32:901-906. discussion 906
• [10]Olze H, Matthias C, Degenhardt P: Paediatric paranasal sinus mucoceles. Eur J Pediatr Surg 2006, 16:192-196.
• [11]Thome DC, Voegels RL, de la Cortina RA C, Butugan O: Bilateral ethmoidal mucocele in cystic fibrosis: report of a case. Int J Pediatr Otorhinolaryngol 2000, 55:143-148.
• [12]Zrada SE, Isaacson GC: Endoscopic treatment of pediatric ethmoid mucoceles. Am J Otolaryngol 1996, 17:197-201.
• [13]Har-El G: Endoscopic management of 108 sinus mucoceles. Laryngoscope 2001, 111:2131-2134.
• [14]Lund VJ, Milroy CM: Fronto-ethmoidal mucocoeles: a histopathological analysis. J Laryngol Otol 1991, 105:921-923.