Sangeetha Thirumazhisi Sachithanandam1
Paranasal sinus mucocoeles are more common in frontal and ethmoidal sinuses with highest morbidity and recurrence rates. Still, endoscopic surgical clearance of disease in the frontal recess area is technically challenging in view of recurrence. A case of recurrent isolated agger nasi mucocoele is reported here and a detail analysis is made on the anatomical, disease and surgical factors for the recurrence of mucocoeles in frontal recess area, the radiological aspects of such lesions required for an operating ENT surgeon and the best surgical approaches to the frontal recess area. Axillary flap technique designed by Wormald is adopted for the surgical clearance of this recurrent isolated agger nasi mucocoele and is found to be safe, easy with excellent anterior access to the frontal recess area preventing postoperative adhesions, scarring and recurrence.
