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Ophthalmic considerations in fronto-ethmoidal mucocoeles

  • Valerie J. Lund (a1) and Muriel E. Rolfe (a2)


The pre-and post-operative ophthalmic consequences of fronto-ethmoidal mucocoeles are considered in a prospective series of 22 patients. Proptosis, lateral and inferior displacement, diplopia and restriction of ocular mobility were the commonest presenting problems. Following external fronto-ethmoidectomy, proptosis and displacement resolved completely in the majority of patients. One third of patients experienced a transient exacerbation of diplopia but this resolved in most patients. Persistent diplopia occurred in seven patients and required medical correction in four and surgery in one. This was due in all cases to underaction of the superior oblique muscle and probably to backward displacement of the trochlea which may be avoided by careful surgical re-attachment.


Corresponding author

Valerie J. Lund, M.S., F.R.C.S., Senior Lecturer, Institute of Laryngology and Otology, 330/332 Gray's Inn Road, London WC1X 8EE


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Bordley, J. E. and Bosley, W. R. (1973) Mucocoeles of the frontal sinus. Annals of Otology, Rhinology and Laryngology, 82: 696702.
Canalis, R. F., Zajtchuk, J. T. and Jenkins, H. A. (1978) Ethmoidal mucocoeles. Archives of Otolaryngology, 104: 286291.
Fujitani, T., Takahasi, T. and Asai, T. (1984) Optic nerve disturbance caused by frontal and frontal and fronto-ethmoidal mucopyoceles. Archives of Otolaryngology 110: 267269.
Harrison, D. F. N. (1980) The ENT surgeon looks at the orbit. Journal of Laryngology and Otology (Supplement 3), 143.
Hesselink, J. R., Weber, A. L., New, P. F. J., Davis, K. R., Roberson, G. H. and Taveras, J. M. (1979) Evaluation of mucoceles of the paranasal sinuses with computed tomography. Radiology, 133: 397400.
Howarth, W. G. (1921) A radical frontal sinus operation. Journal of Laryngology and Otology, 38: 341343.
Iliff, C. E. (1973) Mucoceles in the orbit. Archives of Ophthalmology, 89: 392395.
Lund, V. J., Harvey, W., Meghji, S. and Harris, M. (1988) Prostaglandin synthesis in the pathogenesis of fronto-ethmoidal mucocoeles. Acta Otolaryngologica, 106: 145151.
Lynch, R. C. (1921) The technique of a radical frontal sinus operation which has given me the best results. Laryngoscope, 31: 15.
Natvig, K. and Larsen, T. E. (1978) Mucocele of the paranasal sinuses. Journal of Laryngology and Otology, 92: 10751082.
Rosenbaum, A. L. and Astle, W. F. (1985) Superior oblique and inferior rectus muscle injury following frontal and intranasal sinus surgery. Journal of Pediatric Ophthalmology and Strabismus, 22: 194202.
Rubin, J. S., Lund, V. J. and Salmon, B. (1986) Frontoethmoidectomy in the treatment of mucoceles. Archives of Otolaryngology, 112: 434436.
Wigh, R. (1950) Mucocoeles of the fronto-ethmoidal sinuses. Radiology, 54: 579590.
Wolff, E. (1976) Anatomy of the Eye and Orbit, 7th edition, revised by Warwick, R.H. K. Lewis: London.

Ophthalmic considerations in fronto-ethmoidal mucocoeles

  • Valerie J. Lund (a1) and Muriel E. Rolfe (a2)


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