Giant maxillary antral mucocele consequent to allergic fungal sinusitis

Maxillary antral mucoceles are rare complications of chronic inflammation of the sinus mucosa due to infection or trauma that leads to an obstructed sinus outflow, such as allergic fungal rhinosinusitis. Treatment of choice of AFRS is medical therapy associated with functional endonasal endoscopic surgery; surgical evacuation (preferentially using endoscopic approach) of mucocele is resolutive in most cases. We think that in cases of giant maxillary mucocele Caldwell Luc approach should be avoided even in case of facial soft tissues (including the orbit) or pterygomaxillary fossa involvement, since endoscopic approach can provide adequate surgical field reducing complication rate and sequaelae.