RESUMO
OBJECTIVES: Paranasal sinus mucocele is a benign cystic lesion, lined with respiratory epithelium and filled with mucoid secretions, which is generally seen in the ethmoid or frontal sinuses. Inflammation, trauma, fibrosis, neoplasm, and previous surgery play a role in etiology. Treatment of this condition requires marsupialization and drainage. Endoscopic surgery is the gold standard procedure. METHODS: A 2-year-old boy was referred to our clinic with a diagnosis of bilateral ethmoid mucocele causing proptosis in the right eye. General clinical examinations and routine blood analysis revealed normal health condition of the patient and comorbidities such as cystic fibrosis (CF) and/or ciliary dysfunction were excluded. The patient was operated with an endoscopic endonasal approach. RESULTS: As far as we know, our article reports the first case of bilateral ethmoidal sinus mucocele with no underlying comorbidity, such as cystic fibrosis or ciliary dyskinesia. CONCLUSIONS: Children are rarely affected by mucocele and if present at early age, there is usually an underlying cause. In pediatric patients with signs and symptoms suggestive of a mucocele, it is important to rule out other benign and malignant paranasal sinus pathologies. Marsupialization and drainage via endoscopic endonasal approach is the preferred treatment modality.
Assuntos
Exoftalmia , Seio Frontal , Mucocele , Doenças dos Seios Paranasais , Criança , Pré-Escolar , Seio Etmoidal/cirurgia , Exoftalmia/etiologia , Humanos , Masculino , Mucocele/complicações , Mucocele/diagnóstico , Mucocele/cirurgia , Doenças dos Seios Paranasais/diagnóstico , Doenças dos Seios Paranasais/diagnóstico por imagemAssuntos
Corpos Estranhos/cirurgia , Cavidade Nasal/lesões , Obstrução Nasal/cirurgia , Complicações Pós-Operatórias/cirurgia , Rinoplastia/efeitos adversos , Corpos Estranhos/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Cavidade Nasal/cirurgia , Obstrução Nasal/etiologia , Septo Nasal/cirurgia , Complicações Pós-Operatórias/etiologia , Fatores de TempoRESUMO
Intramuscular hemangiomas (IMH) account for <%1 of all hemangiomas and are rarely located in the head and neck region. The most common site of origin in the head and neck is the masseter muscle, whereas IMH originating from the scalene muscles are rarely seen. Surgical excision of intramuscular hemangioma is considered the main treatment modality. Here we present the case of a male patient aged 17 with IMH that occured after blunt trauma in the supraclavicular region, fed by the thyrocervical and costocervical trunks, and with an arteriovenous shunt.
