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Endoscopic endonasal surgery for paranasal sinus mucoceles
P Rombaux1, B Bertrand, P Eloy
1ENT Department, Head and Neck Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium. philippe.rombaux@orlo.ucl.ac.be
Summary
Endoscopic endonasal marsupialization is a highly effective surgical treatment for paranasal sinus mucoceles, with a success rate of 97.9%. This minimally invasive technique is the preferred choice for managing these benign cystic lesions.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Medical Device Technology
Background:
- Paranasal sinus mucoceles are benign, cystic lesions requiring surgical intervention.
- Endoscopic endonasal marsupialization is the current preferred surgical approach.
Purpose of the Study:
- To validate endoscopic endonasal marsupialization for paranasal sinus mucoceles.
- To determine the clinical characteristics of these lesions.
Main Methods:
- Retrospective study of 140 patients with 178 mucoceles.
- Data collected via standardized questionnaires from Belgian ENT surgeons.
- Analysis of mucocele origin, location, and treatment outcomes.
Main Results:
- Postoperative mucoceles were most common (62.9%).
- Fronto-ethmoidal region was the most frequent location (64%).
- Endoscopic marsupialization achieved a 97.9% success rate with low recurrence (3 patients).
Conclusions:
- Endoscopic endonasal marsupialization is a reliable and effective treatment for paranasal sinus mucoceles.
- The procedure demonstrates favorable outcomes and is supported by Belgian ENT surgeons.
- Minimally invasive endoscopic techniques offer excellent results for managing sinus mucoceles.