Volume 12, Issue 2 (2023)                   WJPS 2023, 12(2): 107-111 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Motazedian G, Koushki E, Nahaei M, Salari F, Reihani H, Jabbari E et al . A Giant Frontal Sinus Mucocele in an Opium Addict Patient: A Case Report. WJPS 2023; 12 (2) :107-111
URL: http://wjps.ir/article-1-1119-en.html
1- 1. Burn and Wound Healing Research Centre, Plastic and Reconstructive Surgery Ward, Shiraz University of Medical Sciences, Shiraz, Iran
2- 2. Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
3- 3. Department of Plastic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
4- 4. Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
5- 5. School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:   (938 Views)
 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.
Full-Text [PDF 641 kb]   (912 Downloads)    
Type of Study: Original Article | Subject: Special
ePublished: 2023/09/23

1. Baurmash HD. Mucoceles and ranulas. J Oral Maxillofac Surg 2003;61(3):369-78. [DOI:10.1053/joms.2003.50074]
2. Capra GG, Carbone PN, Mullin DP. Paranasal sinus mucocele. Head Neck Pathol 2012;6(3):369-72. [DOI:10.1007/s12105-012-0359-2]
3. Carvalho BVd, Lopes IdCC, Corrêa JdB, Ramos LFM, Motta EGPC, Diniz RLFC. Typical and atypical presentations of paranasal sinus mucocele at computed tomography. Radiologia Brasileira 2013;46(6):372-5. [DOI:10.1590/S0100-39842013000600010]
4. Masoudkabir F, Sarrafzadegan N, Eisenberg MJ. Effects of opium consumption on cardiometabolic diseases. Nat Rev Cardiol 2013;10(12):733-40. [DOI:10.1038/nrcardio.2013.159]
5. Ghelardini C, Di Cesare Mannelli L, Bianchi E. The pharmacological basis of opioids. Clin Cases Miner Bone Metab 2015; 12(3):219-21. [DOI:10.11138/ccmbm/2015.12.3.219]
6. Sushil Kumar Aggarwal KB, Amit Keshri, Raj Kumar, Arun Srivastava. Frontal sinus mucocele with orbital complications: Management by varied surgical approaches. Asian J Neurosurg 2012; 7(3):135-40. [DOI:10.4103/1793-5482.103718]
7. Ellath Valappil Bijith SM, and Krishnaswamy Mahadevan. Frontal Mucocele Mimicking a Frontal Subcutaneous Tumor. Asian J Neurosurg 2017; 12(4): 760-762. [DOI:10.4103/1793-5482.180908]
8. Mäntyselkä P, Kumpusalo E, Ahonen R, et al. Pain as a reason to visit the doctor: a study in Finnish primary health care. Pain 2001;89(2):175-80. [DOI:10.1016/S0304-3959(00)00361-4]
9. Jalilian F KMB, Ahmadpanah M, Ataee M, Ahmadi Jouybari T, Eslami AA, Mirzaei Alavijeh M. Socio-demographic characteristics associated with cigarettes smoking, drug abuse and alcohol drinking among male medical university students in Iran. J Res Health Sci 2015;15(1):42-6.
10. Pathan H, Williams J. Basic opioid pharmacology: an update. Br J Pain 2012;6(1):11-6. [DOI:10.1177/2049463712438493]
11. Zakaria C. Management of a Ethmoido-Orbital Mucocele with an Acute Installation: a Case Report. Global J Otolaryngol 2017;4(4): 555642. [DOI:10.19080/GJO.2017.04.555642]
12. Bouhafs K, Lachkar A, Bouamama T, Benfadil D, Ghailan MR. Bilateral orbito-cerebral-extending frontal mucocele following nasosinus polyposis: A case report. Ann Med Surg (Lond) 2021;66:102432. [DOI:10.1016/j.amsu.2021.102432]
13. Bola AS, Andjock YCN, Choffor EN, Nanci E, Esene IN, Djomou F. Bilateral sphenoid sinus mucocele observed in Yaounde-Cameroon: a case report. Pan Afr Med J 2021;39:198. [DOI:10.11604/pamj.2021.39.198.28580]

Add your comments about this article : Your username or Email:

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb