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• W2136988111 abstract "The rhinologic literature contains many contributions to the study of mucoceles of the paranasal sinuses. Wilkerson (1) has traced the historical background from ancient times. Goodyear (2) and Howarth (3), among others, have written on the surgical treatment of the condition. Its frequency has been fairly well established, a rather general estimate being that five to ten examples might be seen by anyone connected with the otolaryngologic clinic of a teaching hospital in a lifetime (4). The distribution in the various sinuses has not been brought up to date but can be estimated. By 1924 Howarth (5) had collected references to 300 mucoceles in the fronto-ethmoidal areas, but though he had personally reported 24 cases, he had not encountered any in the maxillary sinus. It is believed that not more than 25 sphenoid mucoceles have been reported (6). The only comprehensive roentgenologic study in this country was published by Hartung and Wachowski (7) in 1935. There is a difference of opinion, actually, as to the definition of mucocele, due in part to an attempt to separate out a group of fluid masses, commonly called retention cysts. From a roentgenologic point of view the term “mucocele” may be used when any encapsulated fluid mass within a sinus becomes sufficiently distended to fill the sinus or a sinus compartment, while the term “retention cyst” may be applied to a fluid mass with mucoid or serous content which remains distinctly separated from bone, still surrounded by air within the sinus, except at its base. All mucoceles are cysts, and some may pass through a retention cyst phase, but with few exceptions the content is reported as mucoid rather than serous. There should not be any hesitancy in reporting either type, so far as the gross content is concerned, as a mucocele, even though the root of the term implies the presence of mucus. The designation should be considered as a clinical term only, unless future biochemical analysis indicates that there cannot possibly be a relationship between mucoid and serous content. Further disagreement exists concerning the etiology of this interesting lesion (1, 3, 8, 9, 10). As is true of most bodily responses, a similar result may follow dissimilar causes. A mucocele may be produced by an outlet obstruction to a sinus ostium or compartmental ostium or by dilatation of an obstructed gland (retention cyst). Obstruction may follow trauma, infection, or occlusive pressure from new growths. The theory that obstruction may be due to congenital absence of the nasofrontal duct is, however, untenable. True ducts of communication between the frontal sinus and frontal recess are more often absent than present. The communication then is directly through an ostium (11). Were there developmentally no ostium, there could be no cell. The pathologic features of mucocele are not really specific." @default.
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• W2136988111 date "1950-04-01" @default.
• W2136988111 modified "2023-09-24" @default.
• W2136988111 title "Mucoceles of the Fronto-Ethmoidal Sinuses" @default.
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• W2136988111 doi "https://doi.org/10.1148/54.4.579" @default.
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