{"title":"An Interesting Case Report of Frontal Sinus Keratocyst","authors":"A. Mohebbi, Mohammad Aghajanpour","doi":"10.5539/jmbr.v9n1p100","DOIUrl":null,"url":null,"abstract":"Purpose: To report an unusual case of frontal sinus keratocyst. \n \nCase Report: A 31 year old woman presented with a history of swollen right eye and visual field impairment. The ophthalmological examination revealed right superior eyelid edema and some degrees of proptosis. CT scan with iodine injection evidenced the opacification of the right frontal sinus with superior orbital wall lysis. Complete endoscopic surgical resection of a mass containing foul smelling keratin material was performed via Draf type III. The patient became symptomatic after 6 years. Imaging studies showed neo- osteogenesis in the far lateral end of right frontal sinus. Frontal trephination was done and the remnant of keratocyst was removed and the septum interfacing the cell and the right frontal sinus was walled down entirely. \n \nConclusion: Although frontal sinus keratocyst is benign but can spread to the surrounding structures leading to several complications. Therefore, complete surgical resection is necessary to avoid recurrence.","PeriodicalId":92078,"journal":{"name":"Journal of molecular biology research","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of molecular biology research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5539/jmbr.v9n1p100","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To report an unusual case of frontal sinus keratocyst.
Case Report: A 31 year old woman presented with a history of swollen right eye and visual field impairment. The ophthalmological examination revealed right superior eyelid edema and some degrees of proptosis. CT scan with iodine injection evidenced the opacification of the right frontal sinus with superior orbital wall lysis. Complete endoscopic surgical resection of a mass containing foul smelling keratin material was performed via Draf type III. The patient became symptomatic after 6 years. Imaging studies showed neo- osteogenesis in the far lateral end of right frontal sinus. Frontal trephination was done and the remnant of keratocyst was removed and the septum interfacing the cell and the right frontal sinus was walled down entirely.
Conclusion: Although frontal sinus keratocyst is benign but can spread to the surrounding structures leading to several complications. Therefore, complete surgical resection is necessary to avoid recurrence.
目的:报告一例罕见的额窦角化囊肿。病例报告:一名31岁女性,有右眼肿胀和视野损害史。眼科检查发现右上眼睑水肿及有一定程度的突出。CT扫描碘注入证实右额窦混浊,眶上壁溶解。完整的内镜手术切除含有恶臭角蛋白物质的肿块,通过draft type III进行。患者6年后出现症状。影像学检查显示右侧额窦远外侧端有新生骨形成。做了额部穿刺,角化囊肿的残余被移除,连接细胞和右额窦的隔膜被完全封闭。结论:额窦角化囊肿虽为良性,但可扩散至周围结构,引起多种并发症。因此,完全手术切除是必要的,以避免复发。