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Published on: January 17, 2018
Endoscopic management of 108 sinus mucoceles
1Department of Otolaryngology, State University of New York, Health Science Center at Brooklyn, New York 11203, USA.
The Laryngoscope
|January 22, 2002
Summary
Endoscopic management of sinus mucoceles is highly effective, with recurrence rates near 0%. This technique is recommended as the preferred surgical treatment for sinus mucoceles by rhinologic surgeons.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Rhinology
Background:
- Traditionally, complete surgical removal was advocated for sinus mucocele cure.
- Endoscopic sinus surgery presents a minimally invasive alternative for managing sinus mucoceles.
Purpose of the Study:
- To evaluate the efficacy of transnasal endoscopic management for paranasal sinus mucoceles.
- To establish long-term control rates for endoscopic sinus mucocele treatment.
Main Methods:
- Retrospective review of 103 patients with 108 paranasal sinus mucoceles treated between 1988 and 2000.
- All patients underwent endoscopic-wide marsupialization; stents were used selectively for frontal mucoceles.
Main Results:
- A single recurrence (0.9%) was observed in a frontal mucocele case.
- Recurrent sinonasal polyposis, not mucocele recurrence, necessitated revision surgery in 5 patients.
Conclusions:
- Endoscopic management of sinus mucoceles demonstrates excellent long-term control with recurrence rates approaching 0%.
- Rhinologic surgeons should consider endoscopic techniques the primary surgical approach for sinus mucoceles.
