title: [Pediatric mucoceles: clinical aspects and therapeutic approaches].
abstract: BACKGROUND
  Paranasal sinuses mucoceles are extremely rare in children and adolescents. The objective of this study was to assess their clinical presentations and the contribution of endoscopic surgery in their management.
  
  
  METHODS
  we retrospectively reviewed 11 children with paranasal sinus mucoceles who were managed during a period of 15 years (1995-2009).
  
  
  RESULTS
  The mean age was 11.8 years with a sex ratio of 2.66. One patient had a history of nasal polyposis surgery. The symptomatology was dominated by ophthalmological complains. The ethmoïd sinus was the main localization. Orbital extension was found in eight cases, pyomucocele in one case. The surgical management was endoscopic (nine cases), and by an external approach (two cases). Two cases of recurrence were assessed. The mean follow-up was 22.3 months.
  
  
  CONCLUSIONS
  Paranasal sinuses mucocele is exceptional in children. Cystic fibrosis is the main etiologic factor. The symptoms depend on the location and size of the mucocele. The treatment is surgical and most authors prefer the endoscopic approach.
authors: Service ORL et chirurgie maxillo-faciale de la Rabta, CHU La Rabta, 1007 Bab-Saadoun, Tunis, Tunisie. houda.chahed@gmail.com
authors: H
authors: H
authors: Chahed
authors: N
authors: N
authors: Romdhane
authors: R
authors: R
authors: Zainine
authors: W
authors: W
authors: Abid
authors: S
authors: S
authors: Sahtout
authors: G
authors: G
authors: Besbes
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003550:Cystic Fibrosis / Q000150:complications; D004724:Endoscopy / Q000379:methods; D005005:Ethmoid Sinus / Q000473:pathology; D005094:Exophthalmos / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009078:Mucocele / Q000175:diagnosis / Q000601:surgery*; D015508:Nasal Obstruction / Q000175:diagnosis; D009298:Nasal Polyps / Q000601:surgery; D009916:Orbital Diseases / Q000175:diagnosis / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D012220:Rhinitis / Q000175:diagnosis; D014057:Tomography, X-Ray Computed