Frontal sinus mucocele with intracranial and intraorbital extension

ABSTRACT Introduction: Frontal sinus mucoceles can present with a multitude of different symptoms including ophthalmic disturbances. Even benign, they have a tendency to expand by eroding the surrounding bony walls that displaces and destroys structures by pressure and bony resorption. Case report: A 32-year-old man with diplopia, proptosis of the right eye and headache was presented. The diagnosis was frontal sinus mucocele with intracranial and intraorbital extension. Possible clinical manifestations of mucoceles, diagnostic imaging techniques and treatment used are discussed. Conclusion: Frontal mucoceles are benign and curable, early recognition and management of them is of paramount importance, because they can cause local, orbital or intracranial complications

Frontal sinus mucocele with intracranial and intraorbital extension

ABSTRACT Introduction: Frontal sinus mucoceles can present with a multitude of different symptoms including ophthalmic disturbances. Even benign, they have a tendency to expand by eroding the surrounding bony walls that displaces and destroys structures by pressure and bony resorption. Case report: A 32-year-old man with diplopia, proptosis of the right eye and headache was presented. The diagnosis was frontal sinus mucocele with intracranial and intraorbital extension. Possible clinical manifestations of mucoceles, diagnostic imaging techniques and treatment used are discussed. Conclusion: Frontal mucoceles are benign and curable, early recognition and management of them is of paramount importance, because they can cause local, orbital or intracranial complications

Estudio epidemiológico de las urgencias en cirugía oral y maxilofacial en un hospital general

Objective. The demand placed on emergency care units continues to increase at a growing rate, in special Maxillofacial Surgery. The objective of the study is to perform an epidemiological analyses in the emergency maxillofacial area. Design. Transversal observational study of the patients attended in the maxillofacial department in the Rio Hortega Hospital Emergency Services during one year (2002). 1.970 patients and 10 variables were analysed. Results. 1.970 patients were attended. Males (55,8%) were predominant all over females. The month of highest incidence was June (10,9%) and the day of the week Sunday (15,8%). The dominant group of age was 0-10 years (22,6%). Most common aetiology was the accidents (55,1%) and the diagnosis was maxillofacial trauma (55,6%). The treatment was medical in 58,5% of cases. Hospital admissions rate was 9,4% and a 33,1% need a revisions. The rate of patients in our hospital area was 90,3%. Conclusions. The age¿s rank more common in patients attended was between 0-10 years and most of them were male. The day with more assistencial demand was Sunday and the month June. The aetiology for assistance was accidents and traumatism was the principal diagnosis in our hospital. The treatment usually was medical.Objetivo. La demanda de asistencia en los Servicios de Urgencias Hospitalarias está en constante crecimiento desde hace varias décadas y en especial en la Cirugía Maxilofacial. El objetivo de este estudio es realizar un análisis epidemiológico de las urgencias que se producen en dicha especialidad. Diseño del estudio. Estudio transversal y observacional de pacientes atendidos por Cirugía Maxilofacial en el Servicio de Urgencias del Hospital Río Hortega de Valladolid durante el año 2002. Se analizaron 1.970 pacientes y 10 variables. Resultados. Se atendieron 1.970 pacientes, de los cuales el 55,8% fueron hombres. La mayor presión asistencial se produjo en domingo (15,8%) y en el mes de junio (10,9%). El rango de edad con mayor demanda asistencial fue de los 0 a los 10 años (22,6%). La etiología más común por la que los pacientes fueron atendidos resultaron ser los accidentes (55,1%) y el grupo diagnóstico los traumatismos (55,6%). El tipo de tratamiento inmediato más frecuente fue el médico (58,5%). Fueron ingresados el 9,4% de los pacientes y revisados en consulta un 33,1%. El 90,3% de los pacientes pertenecían al área del hospital. Conclusiones. El rango de edad más frecuente de los pacientes atendidos es de 0 a 10 años y la mayoría de los pacientes que acuden a urgencias son hombres. El día con mayor presión asistencial es el domingo y el mes con mayor número de urgencias y de ingresos es junio. La etiología por la que acuden más frecuentemente a urgencias son los accidentes y la traumatología configura la patología maxilofacial con mayor demanda de atención urgente en nuestro hospital. El tratamiento más frecuente es el médico