WORLD JOURNAL OF PLASTIC SURGERY

en A Giant Frontal Sinus Mucocele in an Opium Addict Patient: A Case Report تخصصي Special مقالات اصيل Original Article  Mucocele is a benign soft tissue mass that could occur in all accessory glands. Mucocele can also occur in paranasal sinuses. It is mostly placed in the frontal sinus and barely grows larger than 1.5 centimeters(cm). Based on the affected site, it could cause facial pain and headache. Analgesics like opioids could relieve and potentially make patients ignore the headache and cause giant frontal mucocele. This article discusses a patient with giant frontal sinus mucocele (7×8×8 cm) and opium addiction that presented with severe and intolerable pain. A 32 yr old man came to Rajaee Trauma Hospital, Shiraz, Iran with a severe headache and a large swelling of the face frontal region that developed gradually. In physical examination, the mass was non-tender, non-pulsatile, and free from the overlying normal skin. Computed tomography (CT) scan and magnetic resonance imaging (MRI) demonstrated a frontal sinus mucocele. The operation was planned, and the patient was discharged after two days. Subsequently, the 6-month follow-up of the patient was normal. Two different hypotheses are declared in this article. First, the potential role of opium addiction as a risk factor for giant mucoceles was noted, then the analgesic non-responsiveness of sinus mucoceles was described. The latter hypothesis is more likely. So, we should consider that if the patient had an analgesic-resistant headache, one differential diagnosis could be sinus mucocele. Moreover, the possible psychological effect of addiction on discounting face beauty was acknowledged.   Frontal sinus, Mucocele, Opium dependence, Drug resistance, Case report 107 111 http://wjps.ir/browse.php?a_code=A-10-858-2&slc_lang=en&sid=1 Gholamreza Motazedian 100319475328460014608 100319475328460014608 No 1. Burn and Wound Healing Research Centre, Plastic and Reconstructive Surgery Ward, Shiraz University of Medical Sciences, Shiraz, Iran Elnaz Koushki 100319475328460014609 100319475328460014609 No 2. Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Mehryar Nahaei 100319475328460014610 100319475328460014610 No 3. Department of Plastic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran Fateme Salari 100319475328460014611 100319475328460014611 No 4. Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran Hamid Reihani 100319475328460014612 100319475328460014612 No 2. Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Ebtesam Jabbari 100319475328460014613 100319475328460014613 No 5. School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran Alireza Keshtkar 100319475328460014614 100319475328460014614 Yes 2. Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran