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Ankara Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye Paranasal sinus mucoceles are cystic, slow growing and benign lesions which arise from sinus mucosa. They usually appear after infection, trauma or develop because of the lesions obstructing sinus osteum and disrupting the sinus drainage. These lesions are located must frequently in the frontal sinus, followed by anterior ethmoidal, maxillary, sphenoid and posterior ethmoideal sinuses. When settled in frontoethmoidal region, mucoceles usually cause orbital compression symptoms such as propitosis, gaze palsy, diplopia and palpebral swelling. Although there have been many surgical techniques defined for the treatment of these lesions, in our case, endoscopic endonasal management of a huge frotoethmodial mucocele with orbital extension was presented. Expansive usage of endoscope in endonasal approaches was becoming the technique of choice for removing these lesions without size consideration. Anahtar Kelimeler : Giant frontoethmoidal mucocele, Orbital extension, Endoscopic endonasal