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Frontal mucocele masked as upper lid abcess-a case report

Frontal mucocele is not commonly masked as upper lid abscess.A 72-year-old Chinese man with underlying hyperthyroidism complained of left upper eyelid swelling of 6 months duration. The swelling had persisted and worsen when intravenous antibiotic was changed oral type. Visual acuity on presentation...

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Main Authors: Ng, WL, Umi Kalthum Md Noh,, Jemaima Che Hamzah,, Norshamsiah MD,
Format: Article
Language:English
Published: Faculty of Medicine, UKM Medical Centre 2016
Online Access:http://journalarticle.ukm.my/9835/1/9.Ng_WL_et_al..pdf
http://journalarticle.ukm.my/9835/
http://jsurgacad.com/toc/6/1
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spelling my-ukm.journal.98352016-12-14T06:50:59Z http://journalarticle.ukm.my/9835/ Frontal mucocele masked as upper lid abcess-a case report Ng, WL Umi Kalthum Md Noh, Jemaima Che Hamzah, Norshamsiah MD, Frontal mucocele is not commonly masked as upper lid abscess.A 72-year-old Chinese man with underlying hyperthyroidism complained of left upper eyelid swelling of 6 months duration. The swelling had persisted and worsen when intravenous antibiotic was changed oral type. Visual acuity on presentation was hand motion and reverse relative afferent pupillary defect was present. Because the swelling was large and resulted in mechanical ptosis and ophthalmoplegia, a CT imaging was performed, which showed huge left frontal mucocele eroding the supereromedial orbital rim. The left globe was displaced inferolaterally but there was no extension into brain parenchyma. Fundus examination showed pale optic disc with dull macula. Old laser marks were seen at peripheral fundus. Referral to ortholaryngologist was made and endoscopic sinus surgery and evacuation of mucopyocoele was done. Culture and sensitivity of the fluid showed no organism. He recovered well postoperatively with additional two weeks of antibiotics. We highlight the necessity of surgical drainage of mucocele, following a course of antibiotic. Faculty of Medicine, UKM Medical Centre 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9835/1/9.Ng_WL_et_al..pdf Ng, WL and Umi Kalthum Md Noh, and Jemaima Che Hamzah, and Norshamsiah MD, (2016) Frontal mucocele masked as upper lid abcess-a case report. Journal of Surgical Academia, 6 (1). pp. 43-45. ISSN 2231-7481 http://jsurgacad.com/toc/6/1
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Frontal mucocele is not commonly masked as upper lid abscess.A 72-year-old Chinese man with underlying hyperthyroidism complained of left upper eyelid swelling of 6 months duration. The swelling had persisted and worsen when intravenous antibiotic was changed oral type. Visual acuity on presentation was hand motion and reverse relative afferent pupillary defect was present. Because the swelling was large and resulted in mechanical ptosis and ophthalmoplegia, a CT imaging was performed, which showed huge left frontal mucocele eroding the supereromedial orbital rim. The left globe was displaced inferolaterally but there was no extension into brain parenchyma. Fundus examination showed pale optic disc with dull macula. Old laser marks were seen at peripheral fundus. Referral to ortholaryngologist was made and endoscopic sinus surgery and evacuation of mucopyocoele was done. Culture and sensitivity of the fluid showed no organism. He recovered well postoperatively with additional two weeks of antibiotics. We highlight the necessity of surgical drainage of mucocele, following a course of antibiotic.
format Article
author Ng, WL
Umi Kalthum Md Noh,
Jemaima Che Hamzah,
Norshamsiah MD,
spellingShingle Ng, WL
Umi Kalthum Md Noh,
Jemaima Che Hamzah,
Norshamsiah MD,
Frontal mucocele masked as upper lid abcess-a case report
author_facet Ng, WL
Umi Kalthum Md Noh,
Jemaima Che Hamzah,
Norshamsiah MD,
author_sort Ng, WL
title Frontal mucocele masked as upper lid abcess-a case report
title_short Frontal mucocele masked as upper lid abcess-a case report
title_full Frontal mucocele masked as upper lid abcess-a case report
title_fullStr Frontal mucocele masked as upper lid abcess-a case report
title_full_unstemmed Frontal mucocele masked as upper lid abcess-a case report
title_sort frontal mucocele masked as upper lid abcess-a case report
publisher Faculty of Medicine, UKM Medical Centre
publishDate 2016
url http://journalarticle.ukm.my/9835/1/9.Ng_WL_et_al..pdf
http://journalarticle.ukm.my/9835/
http://jsurgacad.com/toc/6/1
_version_ 1643737920339705856
score 13.222552

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