The clinical course of paranasal sinus mucocoeles—A retrospective case series

Gokani, Shyam, Kumaresan, Kala, Adari, Sushritha, Ergisi, Mehmet, Oludeye, Oladapo, Jegatheeswaran, Lavandan and Philpott, Carl ORCID: (2024) The clinical course of paranasal sinus mucocoeles—A retrospective case series. Journal of Clinical Medicine, 13 (2). ISSN 2077-0383

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Paranasal sinus mucocoeles can be secondary to chronic rhinosinusitis and can result in intra-orbital and intra-cranial complications requiring surgical management. The natural history of conservatively managed mucocoeles is not well established. We aimed to quantify the proportion of radiologically identified paranasal sinus mucocoeles resulting in complications over 10 years. We retrospectively reviewed anonymised data on radiologically diagnosed mucocoeles between 2011 and 2021 at two UK hospitals. We collected data on age at presentation, extent of sinus involvement, management and complications. We identified 60 patients with mucocoeles, of which 35 (58%) were incidental findings from radiological investigations. The mean age was 58 years. Fifteen patients (25%) were managed surgically and one presented with recurrence following surgery. Overall, six patients (10%) had an intra-orbital extension of their mucocoele and three (5%) had an intra-cranial extension. There was no difference in the rates of intra-cranial extension between conservative and surgical cases but surgical cases included a higher rate of intra-orbital extensions (27% vs. 4%, p = 0.01). The proportion of patients requiring surgical intervention in this study is low. Incidental and asymptomatic mucocoeles have a relatively benign disease course and selected uncomplicated cases can be considered for conservative management with serial scanning at 12 months.

Item Type: Article
Additional Information: Funding Information: S.G. is funded by a National Institute for Health and Care Research (NIHR) Academic Clinical Fellowship.
Uncontrolled Keywords: chronic rhinosinusitis,endoscopic sinus surgery,paranasal sinus mucocoele,rhinology,rhinosinusitis complications,medicine(all) ,/dk/atira/pure/subjectarea/asjc/2700
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 04 Mar 2024 18:28
Last Modified: 04 Mar 2024 18:28
DOI: 10.3390/jcm13020397


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