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Maxillary Mucocele With Proptosis and Visual Impairment: A Late Complication of Le Fort III Distraction

Patel, Parit A. MD; Warren, Stephen M. MD; McCarthy, Joseph G. MD

doi: 10.1097/SCS.0b013e3182a4d72e
Clinical Studies
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Maxillary mucoceles are a relatively rare entity especially following surgical procedures involving osteotomies of the maxilla. The etiology of maxillary mucoceles has been ascribed to facial trauma (fractures), sinus surgery, and chronic inflammatory diseases or infections. Mucoceles can follow injury to the sinus mucosa and/or sinus outflow tract with a resulting expansile cystic mass. The clinical presentation ranges from swelling, pain, a palpable mass, proptosis, enophthalmos, and diplopia. The treatment involves either open or endoscopic incision and drainage of the cyst, mucosal resection, and an antrostomy for drainage.

We report the case of a patient with Pfeiffer syndrome who underwent Le Fort III distraction osteogenesis and developed a symptomatic mucocele 15 years postoperatively.

From the Department of Plastic Surgery, New York University Langone Medical Center, New York, New York.

Received April 30, 2013.

Accepted for publication July 7, 2013.

Address correspondence and reprint requests to Parit A. Patel, MD, Department of Plastic Surgery, Institute of Reconstructive Plastic Surgery, NYU Medical Center, 307 East 33rd St, New York, NY 10016; E-mail: parit.patel@nyumc.org

The authors report no conflicts of interest.

© 2013 by Mutaz B. Habal, MD.