Article

Endonasal endoscopic marsupialization of paranasal sinus mucoceles.

Department of Otorhinolaryngology-Head and Neck Surgery, Tohoku University School of Medicine, Sendai, Japan.
American Journal of Rhinology (impact factor: 1.36). 14(2):107-11. pp.107-11
Source: PubMed

ABSTRACT Paranasal sinus mucoceles are relatively common in Japan, especially after prior Caldwell-Luc surgery. Recently developed endonasal endoscopic approaches were used for the drainage and marsupialization of mucoceles. We present the surgical treatment of 97 patients with mucoceles, including 68 maxillary, 13 ethmoid, nine frontal, seven sphenoid, eight frontoethmoid, and one sphenoethmoid sinuses. Six patients with maxillary mucoceles were operated via a sublabial incision. For frontal mucoceles, four patients were treated by a combined external and endonasal endoscopic approach. The other mucoceles underwent complete marsupialization under endonasal endoscopic control. There were no intraoperative or postoperative complications. No evidence of recurrence was observed in any patients during follow-up periods ranging from 36 to 84 months.

0 0
 · 
0 Bookmarks
 · 
23 Views
  • Source
    Article: Endoscopic middle meatal antrostomy in treatment of maxillary sinus mucoceles.
    [show abstract] [hide abstract]
    ABSTRACT: Mucocele of a paranasal sinus is a benign non-neoplastic condition characterized by cystic expansion and distension of the sinus cavity by retained mucoid secretions. Etiology is unknown. The purpose of this study was to estimate the efficiency of the endoscopic middle meatal antrostomy (MMA) as a treatment modality in patients with maxillary sinus mucoceles. This retrospective study involved 11 patients with maxillary sinus mucoceles/pyoceles treated endoscopically in the Clinic for Otorhinolaryngology of Military Medical Academy, Belgrade over a 3-year period (2005-2007). The presented symptoms and signs, radiological and pathohistological findings and surgical treatment were reviewed. There were four females and seven males, age 22 to 65 years (mean 33 years). Two patients were with allergic rhinitis. All the patients complained of nasal obstruction, ten had facial pain, seven had nasal discharge, five had cheek pressure, and four had epiphora, and four had headaches. On endoscopic nasal examination, the medial wall of the maxillary sinus was bulging in ten patients. Purulent drainage was seen in eight patients, septal deviation in ten, and polyps were found in two of the patients. The MMA and marsupialization of the mucocele were performed in all the patients. On histopathological examination, the mucocele wall showed a lining composed of respiratory epithelium. Postoperative follow-up ranged between 8 and 44 months (in six patients, it ranged from 24 to 44 months). No patients required revision surgery. The MMA with mucocele marsupialization abolishes middle meatal obstruction and establishes better drainage and ventilation of the maxillary sinus and restitution of its mucosa.
    Vojnosanitetski pregled. Military-medical and pharmaceutical review 04/2009; 66(3):207-11. · 0.18 Impact Factor
  • Source
    Article: Ethmoid mucocele: a new feature of primary ciliary dyskinesia.
    [show abstract] [hide abstract]
    ABSTRACT: Primary ciliary dyskinesia (PCD) is a rare congenital autosomal recessive disease that produces impairment of mucosal ciliary movement. Children with this disorder usually manifest recurrent and chronic infections of the upper and lower airways. We describe the history of a 12-month-old boy in whom the correct diagnosis of PCD was achieved after the occurrence of ethmoid mucocele associated with omolateral proptosis. A careful description of this new feature of PCD and its dangerous complications are also presented.
    Pediatric Pulmonology 12/2009; 45(2):197-201. · 2.53 Impact Factor

Keywords

13 ethmoid
 
68 maxillary
 
84 months
 
97 patients
 
combined external
 
complete marsupialization
 
endonasal endoscopic approach
 
endonasal endoscopic approaches
 
endonasal endoscopic control
 
frontal
 
frontal mucoceles
 
frontoethmoid
 
intraoperative
 
marsupialization
 
maxillary mucoceles
 
mucoceles
 
Paranasal sinus mucoceles
 
patients
 
sphenoethmoid sinuses
 
surgical treatment
 

K Ikeda