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Mucoceles gigantes: visão neurocirúrgica. Relato de dois casos Giant mucoceles: neurosurgical view. Report of two cases

By Mirto N. Prandini, Oswaldo I. Tella, Santino N. Lacanna, Apio C. Martins Antunes and Renato Roithmann

Abstract

São apresentados dois casos de mucocele gigante do seio frontal submetidos a tratamento cirúrgico. A manifestação clínica foi cefaléia de evolução prolongada, associada com protrusão unilateral do globo ocular de curta duração. Em ambos os casos foi realizada craniotomia frontal com remoção completa da lesão, reparação do soalho frontal com retalho pediculado de gálea e cranialização do seio frontal. No segundo caso, uma abordagem endoscópica intranasal foi combinada à abordagem externa no mesmo ato cirúrgico. Alguns aspectos abordando a etiologia, associação com outras afecções e tratamento cirúrgico são discutidos.<br>Two patients harboring giant frontal mucoceles are reported. In both cases complaints of chronic headaches and progressive unilateral proptosis were preponderant. Surgical treatment included a frontal craniotomy with excision of the lesion, skull base reinforcement with pedicled galea and wide opening of the frontal sinuses. In the second case an intranasal endoscopic approach was combined with craniotomy at the same surgical operative time. Some aspects regarding etiology, association with other diseases and some surgical aspects are discussed

Topics: mucocele gigante, mucocele frontal, seio frontal, frontal mucocele, giant mucocele, frontal sinus, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571, Internal medicine, RC31-1245, Medicine, R, DOAJ:Neurology, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Academia Brasileira de Neurologia (ABNEURO)
Year: 2005
DOI identifier: 10.1590/S0004-282X2005000300033
OAI identifier: oai:doaj.org/article:07feb3fca9e1493f9c72d86ded8eb40f
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