DOI: https://dx.doi.org/10.18203/issn.2454-5929.ijohns20222444
Published: 2022-09-26

Nasosinus mucoceles: about 13 cases in Donka University Hospital, Republic of Guinea

Abdoulaye Keita, Ibrahima Diallo, Mamadou A. Diallo, Sayon Kourouma, Mamadou M. R. Diallo, Mamady Fofana, Mamadou M. Diallo, Mohamed C. Kaman

Abstract


Background: Nasosinus mucoceles are expansive pseudocystic formations of the sinuses of the face formed by chronic retention of mucus in a sinus cavity due to ostial obstruction.

Methods: This was a descriptive study of retrospective data collection. It was carried out over ten years (from 01 January 2008 to 01 January 2018) at the otorhinolaryngology and head and neck surgery department of the Donka University Hospital.   

Results: We found an incidence of 1.3 cases per year. The average age was 39.77 years with extremes of 10 years and 60 years. The sex ratio was 0.6. Headaches (92.3%) and facial swelling (76.9%) were the main reasons for consultation. The ethmoid-frontal form was predominant (53.8%). CT scan of the sinuses was performed in all patients. Magnetic resonance imaging was not performed. The diagnosis of certainty was made by anatomy pathology (100%). The paralateral nasal route was the main approach (46.2%). The simple postoperative follow-ups were simple (100%). Lethality was zero.  

Conclusions: We noted a low incidence of naso-sinus mucoceles in our series. The symptomatology was fairly standard. Imagery and anatomy pathology established the diagnosis. However, endonasal surgery has become essential in the management. Simple postoperative follow-up would be related to the experience of the surgeon, the severity of the lesions and the proper conduct of post-operative care.


Keywords


Mucocele, Chronic rhinosinusitis, Management, Sub-Saharan Africa

Full Text:

PDF

References


Sreedharan S, Kamath MP, Hegde MC, Bhojwani K, Alva A, et al. Giant mucocoele of the maxillary antrum: a case report. Indian J Otolaryngol Head Neck Surg. 2011;63(1):87-8.

Ba MC, Tall A, Hossini A, Ba AL, Ndoye N, Sakho Y, et al. Les mucocèles du sinus frontal en milieu neurochirurgical. A propos de 6 cas dakarois. Afr J Neurol Sci. 2005;24(2):40-7.

Mayne MD, Plana A, Malinvaud D, Laccourreye O, Bonfils P. Mucocèle des cavités naso-sinusiennes: histoire naturelle et fréquence des récidives à long terme. Ann Fr Oto-Rhino-Laryngol Pathol Cervico-Faciale. 2012;129(3):153‑8.

Har-El G, Balwally AN, Lucente FE. Sinus mucoceles: is marsupialization enough? Otolaryngol Head Neck Surg. 1997;117(6):633-40.

Aderdour L, Fakiri MM, Nouri H, Hassani R, Raji A. Les mucocèles sinusiennes: aspects diagnostiques et thérapeutiques à propos de 16 cas. J Maroc Sci Médicales. 2010;17(3):16-20.

Dispenza C, Saraniti C, Caramanna C, Dispenza F. Endoscopic treatment of maxillary sinus mucocele. Acta Otorhinolaryngol Ital. 2004;24(5):292-6.

Hssaine K, Belhoucha B, Rochdi Y, Nouri H, Aderdour L, Raji A. [Paranasal sinus mucoceles: About 32 cases. Rev Stomatol Chir Maxillofac Chir Orale. 2016;117(1):11-4.

Ndjeundo J, Buraima F, Ngattia V, Badou KE, Vroh B, Yoda M. Epidemiology and treatment of sinus mucoceles: 25 cases in Abidjan (Côte d'Ivoire). Mali Med. 2015;30(3):1-6.

Achour I, Souissi B, hammami B, Maalej F, Ayadi S, Al-kafarnah H, et al. Les mucocèles naso-sinusiennes. J L’Information Médicale Sfax. 2017;45:45-9.

Bassi L, Boumed A, Rochdi Y, Nouri H, Aderdour L, Raji A. Les mucocèles nasosinusiennes: à propos de 22 cas. Ann Fr Oto-Rhino-Laryngol Pathol Cervico-Faciale. 2012;129(4):A99.

Facon F, Nicollas R, Paris J, Dessi P. Surgery of mucocele of the paranasal sinuses: report of 52 cases with a middle term follow up. Rev Laryngol Otol Rhinol (Bord). 2008;129(3):167-73.

Bouatay R, Aouf L, Hmida B, El Korbi A, Kolsi N, Harrathi K, et al. The role of imaging in the management of sinonasal mucoceles. Pan Afr Med J. 2019;34:3.

Hariga I, Zribi S, Khamassi K, Amor MB, Bouzaiani A, Gamra OB, et al. Place et limites de la chirurgie endonasale dans le traitement des mucocèles sinusiennes. J Tunis ORL Chir Cervico-Faciale. 2008;21:28-31.