March 2012
Volume 53, Issue 14
ARVO Annual Meeting Abstract  |   March 2012
Frontoethmoidal Sinus Mucocele Associated with Osteoma
Author Affiliations & Notes
  • David Rand
    Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York
  • Sydney Butts
    Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York
  • Jaya Nath
    Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York
  • Matthew Gorski
    Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York
  • Renelle Pointdujour
    Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York
  • Roman Shinder
    Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York
  • Footnotes
    Commercial Relationships  David Rand, None; Sydney Butts, None; Jaya Nath, None; Matthew Gorski, None; Renelle Pointdujour, None; Roman Shinder, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 1257. doi:
  • Views
  • Share
  • Tools
    • Alerts
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      David Rand, Sydney Butts, Jaya Nath, Matthew Gorski, Renelle Pointdujour, Roman Shinder; Frontoethmoidal Sinus Mucocele Associated with Osteoma. Invest. Ophthalmol. Vis. Sci. 2012;53(14):1257.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

  • Supplements

Purpose: : Frontoethmoidal sinus mucocele may lead to significant proptosis, globe dystopia, & neurological sequelae from bony erosion with resultant intracranial extension. Sinus osteoma is the most common benign neoplasm of the sinuses & may cause recurrent headache or sinusitis. However, a rare association of frontoethmoidal sinus mucocele and osteoma has not yet been reported in the ophthalmic literature and may reflect more aggressive lesions with intracranial extension warranting neurosurgical evaluation.

Methods: : Records of 2 patients with frontoethmoidal sinus mucocele and associated osteoma were reviewed.

Results: : The first patient is a 79-year-old man who presented with a draining right frontoethmoidal mucopyocele (Fig 1A). The second patient is a 21-year-old man with a history of bilateral frontal and nasal bone fractures who presented with 3 months of diplopia. In both cases, ophthalmic exam revealed right proptosis and inferotemporal globe dystopia. CT orbits of both patients demonstrated a frontoethmoidal mucocele and adjacent osteoma with both orbital & intracranial extension (Fig 1B, C, 2A, B). Both patients received endoscopic mucocele drainage and restoration of proper sinus outflow tracts.

Conclusions: : Frontoethmoidal sinus mucocele may arise as a complication of sinus osteoma in the setting of trauma or inflammation with expansion leading to proptosis, globe dystopia, and potentially dramatic neurological sequelae from intracranial extension such as headache, seizure, or intracranial abscess. It appears that mucocele with associated osteoma may correlate with increased incidence of intracranial expansion and communication. This association has been cited in few neurosurgical case reports,1,2 but not in the ophthalmic literature. Prompt recognition of this association by clinicians will allow proper evaluation and timely treatment to prevent potential neurological complications.

Keywords: orbit • imaging/image analysis: clinical • imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) 

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.