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Conditions and Diseases > Sinusitis Forum > Mucolcele in frontal sinus
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Q: Mucolcele in frontal sinus
asked by: DoctorQuestion on October 5th, 2009
Hubby has a mucolcele in his frontal sinus which has become infected twice in the last year causing orbital cellulitis. 5 hospitals and 10 doctors total and each has their own opinion on how to proceed. Some are for obliteration surgery and other are against it because of the possibility of the mucolcele coming back and it's hard to diagnos once the sinus has been filled with fat........any opinions?? Thanks!


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Dr. Kokil Mathur , MD
replied on October 12th, 2009
Sinusitis Answer A7514
Hi
Welcome to the forum!
The primary treatment of all mucoceles is open surgery. If the mucoceles are not surgically removed they get infected and can cause local, orbital (related to eye) and intracranial (related to brain) complications.
After removal the general prognosis is good and continuous post operative follow up can detect a recurrence early.
However on net and without examining it is difficult to give a confirmed opinion. In general excision of the whole mucocele (not obliteration) will be beneficial. However if this is not possible surgeons go for obliteration surgery.
An ENT surgeon specialized in mucocele surgeries should be able to guide you better after examining your husband and by doing a CT scan or MRI of the sinus. Hope this helps. Take care!






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