Management of an extensive frontal pyocoele using an external approach: a case report Authors Syed Ahmed Shahzaeem Hussain Rural Health Centre, Lilla, Jhelum, Pakistan Syed Ahmed Shahzain Hussain Department of Otorhinolaryngology, Shaikh Zayed Hospital, Lahore, Pakistan Syed Muzahir Hussain Department of Otorhinolaryngology, The University of Lahore Teaching Hospital, Lahore, Pakistan DOI: https://doi.org/10.47391/JPMA.4335 Abstract Pyocoeles of the paranasal sinuses are pus-filled cavities seen in the sinuses and develop from the infection of the mucocoeles. Pyocoeles most commonly form in the frontal sinus. Endoscopic Sinus Surgery is currently the mainstay of the treatment. We present the case of an 85-year-old female who presented to the ENT OPD of Jinnah Hospital/AIMC, Lahore, in October 2017 with complaints of progressive symptoms of intractable left frontal pain, double vision, and an associated swelling below the medial half of the left eyebrow. A CT scan was done and a diagnosis of extensive frontal pyocele was made. She was treated successfully with an external approach and remained without any complications till 13-month follow-up after surgery; exceptional cosmetic results were achieved. We wish to bring attention to the possibility of an external approach being used as a primary intervention, if deemed appropriate. Downloads Full Text Article Published 2022-08-15 How to Cite Hussain, S. A. S. ., Hussain, S. A. S., & Hussain, S. M. (2022). Management of an extensive frontal pyocoele using an external approach: a case report. Journal of the Pakistan Medical Association, 72(9), 1868–1870. https://doi.org/10.47391/JPMA.4335 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 72 No. 9 (2022): SEPTEMBER Section CASE REPORT