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Frontal Sinus Mucocele Development in an Adult Patient With Apert Syndrome

Brown, Emile Nathaniel MD; Yuan, Nance BS; Stanwix, Matthew MD; Rodriguez, Eduardo D. MD, DDS; Dorafshar, Amir H. MBChB

Journal of Craniofacial Surgery: January 2013 - Volume 24 - Issue 1 - p 321–323
doi: 10.1097/SCS.0b013e318278209a
Original Articles

Frontal sinus mucoceles may present many years after traumatic injuries or surgical procedures involving the frontal bone, but have been rarely reported after fronto-orbital advancement. We describe a case of frontal sinus mucocele development in a 43-year-old patient with Apert syndrome who underwent fronto-orbital advancement as a child. This was treated with resection and free fibula osteomuscular flap reconstruction. Computer-aided design and manufacturing techniques were used to virtually plan the procedure and guide the osteotomies intraoperatively. Follow-up at 1 year postoperatively revealed no evidence of recurrence.

From the Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Received June 20, 2012.

Accepted for publication October 5, 2012.

Address correspondence and reprint requests to Amir H. Dorafshar, MBChB, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601 N. Caroline Street JHOC 8150, Baltimore, MD 21287; E-mail: adorafs1@jhmi.edu

The authors report no conflicts of interest.

© 2013 Mutaz B. Habal, MD