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Implication of frontal sinus mucocele’s location and intrasinus septation
  1. K Devaraja1,
  2. Hitesh Verma2 and
  3. Rajeev Kumar2
  1. 1 Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India
  2. 2 Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr K Devaraja, deardrdr{at}


Mucocele of paranasal sinuses commonly affects frontal or frontoethmoidal air cells. With the evolution of endoscopic sinus surgery, the endoscopic marsupialisation has become the standard of care for these lesions. However, the external approach still has a role in selected cases of frontal sinus mucocele. The location of the mucocele and its communication with the natural outflow tract of the frontal sinus are some of the critical factors to be considered while choosing the surgical approach. We have discussed the management of three cases of frontal mucoceles having different locations and one of them having intervening septa. We emphasise that the successful management of far laterally located mucoceles and those with laterally situated septation require an external approach in conjunction with endoscopic marsupialisation.

  • ear, nose and throat/otolaryngology
  • ophthalmology
  • radiology

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  • Contributors KD was involved in clinical care, planning, manuscript preparation, literature review, editing and submission. HV was involved in clinical care, planning, manuscript preparation, editing and submission. RK was involved in clinical care, planning, manuscript preparation, literature review and submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.