5 634

Cited 50 times in

Paranasal sinus mucoceles with ophthalmologic manifestations: a 17-year review of 96 cases.

Authors
 Kim, Yoo-Suk  ;  Kim, Kyubo  ;  Lee, Jeung-Gweon  ;  Yoon, Joo-Heon  ;  Kim, Chang-Hoon 
Citation
 AMERICAN JOURNAL OF RHINOLOGY & ALLERGY, Vol.25(4) : 272-275, 2011 
Journal Title
AMERICAN JOURNAL OF RHINOLOGY & ALLERGY
ISSN
 1945-8924 
Issue Date
2011
MeSH
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Follow-Up Studies ; Humans ; Infection ; Male ; Middle Aged ; Mucocele/diagnosis* ; Mucocele/pathology ; Mucocele/physiopathology* ; Mucocele/surgery ; Optic Nerve Diseases ; Paranasal Sinuses/pathology ; Paranasal Sinuses/surgery* ; Prognosis ; Retrospective Studies ; Risk Factors ; Treatment Outcome
Abstract
BACKGROUND: The purpose of this study was to assess the characteristics of paranasal sinus mucoceles with ophthalmologic manifestations with a focus on optic neuropathy.

METHODS: From January 1993 to May 2010, 96 consecutive patients diagnosed with paranasal sinus mucoceles with ophthalmologic manifestations were investigated. Clinical and therapeutic factors and demographics were reviewed from medical records. Statistical associations between clinical and therapeutic factors and visual outcomes after surgery were also analyzed.

RESULTS: A total of 352 patients were diagnosed with paranasal sinus mucoceles and underwent surgical treatment. Ninety-six of them presented with ophthalmologic symptoms, and periorbital swelling and pain were the most common symptoms (36.4%) in those patients. Among the 96 patients with ophthalmologic manifestations, 18 (18.8%) were diagnosed with optic neuropathy based on the deterioration of their visual acuity and unilateral relative afferent papillary defect. Ten of these 18 patients showed improvements in their vision after surgical intervention. The statistical analysis of the association between clinical and therapeutic factors and visual outcomes showed that the presence of infection was the only significant factor (p = 0.023).

CONCLUSION: Paranasal sinus mucoceles present various ophthalmologic manifestations. Among them, optic neuropathy may be one of the most devastating conditions. In treating optic neuropathy caused by mucoceles, the presence of infection was the only factor that had any influence on postoperative visual outcomes. Therefore, we conclude that not only surgical drainage and ventilation of the sinus are necessary, but infection control is also a vital factor in treating mucoceles with optic neuropathy.
Full Text
http://www.ingentaconnect.com/content/ocean/ajra/2011/00000025/00000004/art00025
DOI
10.2500/ajra.2011.25.3624
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyu Bo(김규보)
Kim, Yoo Suk(김유석)
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Yoon, Joo Heon(윤주헌)
Lee, Jeung Gweon(이정권)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93376
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links