Daftar Isi: (CR47) Rare Case of Giant Left Frontal Mucocele Presenting 28 years After Frontal Bone Fracture: Case Report and Points in Surgical Management

Daftar Isi:

Giant mucocele of the frontal sinus is a rare pathology caused by retention of mucous secretions in the frontal sinus, which can expand and erode adjacent frontal and orbital bones and extend into intracranial and/or intraorbital compartment. Here, we describe a case of giant left frontal mucocele in a middle-aged gentleman with predisposing history of bifrontal craniotomy for severe brain injury with left frontal bone fracture 28 years ago. Imaging findings were suggestive of large expansile lobulated lesion arising from left frontal sinus with surrounding mass effect on adjacent frontal lobe and bone, extraocular muscle and globe with left fronto-orbital bony defect with foreign bodies. Bifrontal craniotomy, excision of mucocele, cranialization of frontal sinus, frontal bone reconstruction with split calvarial graft and fasciaduraplasty with was performed. Postoperatively, patient was extubated and reported no recurrence of lesion. This case demonstrates the importance of recognition of frontal mucocele as a possible long-standing complication of frontal bone fracture and the need for proper surgical management to prevent recurrence or infective complications.