{"id":"https://openalex.org/W7225814490","doi":"https://doi.org/10.5152/b-ent.2026.261977","title":"Mucocele Causing Diplopia: A Rare Complication After Endoscopic Sinus Surgery","display_name":"Mucocele Causing Diplopia: A Rare Complication After Endoscopic Sinus Surgery","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225814490","doi":"https://doi.org/10.5152/b-ent.2026.261977"},"language":"en","primary_location":{"id":"doi:10.5152/b-ent.2026.261977","doi":"https://doi.org/10.5152/b-ent.2026.261977","is_oa":true,"landing_page_url":"https://doi.org/10.5152/b-ent.2026.261977","pdf_url":"https://www.b-ent.be/index.php/pub/article/download/1150/1123","source":{"id":"https://openalex.org/S4210221531","display_name":"B-ENT","issn_l":"1781-782X","issn":["1781-782X","2684-4907"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","ddh","doaj","dongbi-d","doyens","jufo-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"B-ENT","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.b-ent.be/index.php/pub/article/download/1150/1123","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5093645876","display_name":"Louis Werpin","orcid":"https://orcid.org/0000-0003-4831-2698","observed_orcids":["https://orcid.org/0000-0003-4831-2698"]},"institutions":[{"id":"https://openalex.org/I4210143543","display_name":"AZ Maria Middelares","ror":"https://ror.org/048pv7s22","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210143543"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Louis Werpin","raw_affiliation_strings":["Department of Otorhinolaryngology and Head-and Neck surgery , AZ Maria Middelares General Hospital , Gent , Belgium"],"raw_orcid":"https://orcid.org/0000-0003-4831-2698","affiliations":[{"raw_affiliation_string":"Department of Otorhinolaryngology and Head-and Neck surgery , AZ Maria Middelares General Hospital , Gent , Belgium","institution_ids":["https://openalex.org/I4210143543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066411452","display_name":"Joekio Drubbel","orcid":"https://orcid.org/0000-0003-2192-7369","observed_orcids":["https://orcid.org/0000-0003-2192-7369"]},"institutions":[{"id":"https://openalex.org/I4210143543","display_name":"AZ Maria Middelares","ror":"https://ror.org/048pv7s22","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210143543"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Joekio Drubbel","raw_affiliation_strings":["Department of Otorhinolaryngology and Head-and Neck surgery , AZ Maria Middelares General Hospital , Gent , Belgium"],"raw_orcid":"https://orcid.org/0009-0005-2368-3646","affiliations":[{"raw_affiliation_string":"Department of Otorhinolaryngology and Head-and Neck surgery , AZ Maria Middelares General Hospital , Gent , Belgium","institution_ids":["https://openalex.org/I4210143543"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5048727055","display_name":"Dominique Verschueren","orcid":"https://orcid.org/0000-0002-3558-921X","observed_orcids":["https://orcid.org/0000-0002-3558-921X"]},"institutions":[{"id":"https://openalex.org/I4210143543","display_name":"AZ Maria Middelares","ror":"https://ror.org/048pv7s22","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210143543"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Dominique Verschueren","raw_affiliation_strings":["Department of Otorhinolaryngology and Head-and Neck surgery , AZ Maria Middelares General Hospital , Gent , Belgium"],"raw_orcid":"https://orcid.org/0009-0009-3292-7752","affiliations":[{"raw_affiliation_string":"Department of Otorhinolaryngology and Head-and Neck surgery , AZ Maria Middelares General Hospital , Gent , Belgium","institution_ids":["https://openalex.org/I4210143543"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210143543"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"22","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10984","display_name":"Sinusitis and nasal conditions","score":0.9272000193595886,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10984","display_name":"Sinusitis and nasal conditions","score":0.9272000193595886,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11669","display_name":"Head and Neck Surgical Oncology","score":0.02459999918937683,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12523","display_name":"Nasolacrimal Duct Obstruction Treatments","score":0.016200000420212746,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C2778741325","wikidata":"https://www.wikidata.org/wiki/Q6931220","display_name":"Mucocele","level":2,"score":0.939300000667572},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9258999824523926},{"id":"https://openalex.org/C2780581723","wikidata":"https://www.wikidata.org/wiki/Q775940","display_name":"Diplopia","level":2,"score":0.8637999892234802},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7379000186920166},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5703999996185303},{"id":"https://openalex.org/C2993524501","wikidata":"https://www.wikidata.org/wiki/Q17163425","display_name":"Endoscopic sinus surgery","level":2,"score":0.5666999816894531},{"id":"https://openalex.org/C2776407911","wikidata":"https://www.wikidata.org/wiki/Q7525187","display_name":"Sinus (botany)","level":3,"score":0.5449000000953674},{"id":"https://openalex.org/C2776430567","wikidata":"https://www.wikidata.org/wiki/Q918118","display_name":"Frontal sinus","level":2,"score":0.48730000853538513},{"id":"https://openalex.org/C2909827892","wikidata":"https://www.wikidata.org/wiki/Q281473","display_name":"Paranasal Sinus Diseases","level":3,"score":0.4787999987602234},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.4494999945163727},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.37529999017715454},{"id":"https://openalex.org/C2776148792","wikidata":"https://www.wikidata.org/wiki/Q3041498","display_name":"Eye disease","level":2,"score":0.3720000088214874},{"id":"https://openalex.org/C2988501903","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopic surgery","level":3,"score":0.3280999958515167},{"id":"https://openalex.org/C196644772","wikidata":"https://www.wikidata.org/wiki/Q3884964","display_name":"Orbit (dynamics)","level":2,"score":0.32339999079704285},{"id":"https://openalex.org/C2779745352","wikidata":"https://www.wikidata.org/wiki/Q1049298","display_name":"Sphenoidal sinus","level":3,"score":0.2937000095844269},{"id":"https://openalex.org/C2777955602","wikidata":"https://www.wikidata.org/wiki/Q281473","display_name":"Paranasal sinuses","level":2,"score":0.29330000281333923},{"id":"https://openalex.org/C2910762390","wikidata":"https://www.wikidata.org/wiki/Q767669","display_name":"Visual Disturbance","level":2,"score":0.28929999470710754},{"id":"https://openalex.org/C2778257484","wikidata":"https://www.wikidata.org/wiki/Q555066","display_name":"Visual acuity","level":2,"score":0.2660999894142151}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.5152/b-ent.2026.261977","doi":"https://doi.org/10.5152/b-ent.2026.261977","is_oa":true,"landing_page_url":"https://doi.org/10.5152/b-ent.2026.261977","pdf_url":"https://www.b-ent.be/index.php/pub/article/download/1150/1123","source":{"id":"https://openalex.org/S4210221531","display_name":"B-ENT","issn_l":"1781-782X","issn":["1781-782X","2684-4907"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","ddh","doaj","dongbi-d","doyens","jufo-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"B-ENT","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.5152/b-ent.2026.261977","doi":"https://doi.org/10.5152/b-ent.2026.261977","is_oa":true,"landing_page_url":"https://doi.org/10.5152/b-ent.2026.261977","pdf_url":"https://www.b-ent.be/index.php/pub/article/download/1150/1123","source":{"id":"https://openalex.org/S4210221531","display_name":"B-ENT","issn_l":"1781-782X","issn":["1781-782X","2684-4907"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","ddh","doaj","dongbi-d","doyens","jufo-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"B-ENT","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225814490.pdf","grobid_xml":"https://content.openalex.org/works/W7225814490.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Paranasal":[0],"mucoceles":[1,122],"are":[2,138],"benign,":[3],"mucus-filled":[4],"lesions":[5],"that":[6,121],"develop":[7],"due":[8],"to":[9,33,140],"obstruction":[10],"of":[11,46,88],"sinus":[12,74,78,105],"drainage":[13,79],"pathways.":[14],"Although":[15],"commonly":[16],"arising":[17],"in":[18],"the":[19,44,89],"frontal":[20],"and":[21,38,57,103,127,135],"ethmoidal":[22,65],"sinuses,":[23],"significant":[24],"orbital":[25,55,115,131],"extension":[26],"is":[27],"rare.":[28],"Such":[29],"expansion":[30],"may":[31,123],"lead":[32],"symptoms":[34],"including":[35],"diplopia,":[36],"proptosis,":[37,53],"visual":[39,143],"impairment.":[40],"This":[41],"report":[42],"describes":[43],"case":[45],"a":[47,62],"74-year-old":[48],"woman":[49],"presenting":[50],"with":[51],"acute":[52],"severe":[54],"pain,":[56],"longstanding":[58],"diplopia":[59,92],"caused":[60],"by":[61,72],"large":[63],"intra-orbital":[64],"mucocele.":[66],"The":[67,96],"mucocele":[68,97],"was":[69,80],"successfully":[70],"managed":[71],"endoscopic":[73,108,136],"surgery":[75],"(ESS).":[76],"Frontal":[77],"subsequently":[81],"restored.":[82],"Postoperative":[83],"imaging":[84],"confirmed":[85],"complete":[86],"resolution":[87],"mucocele,":[90],"although":[91],"only":[93],"partially":[94],"improved.":[95],"likely":[98],"resulted":[99],"from":[100],"postoperative":[101],"scarring":[102],"impaired":[104],"drainage.":[106],"Prompt":[107],"intervention":[109],"effectively":[110],"re-established":[111],"ventilation,":[112],"preventing":[113],"further":[114],"compromise.":[116],"Clinicians":[117],"should":[118],"remain":[119],"aware":[120],"present":[124],"after":[125],"ESS":[126],"can":[128],"cause":[129],"substantial":[130],"morbidity.":[132],"Early":[133],"recognition":[134],"management":[137],"essential":[139],"prevent":[141],"permanent":[142],"sequelae.":[144]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}