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[Surgical strategy in paranasal sinus mucoceles]
S Schmerber1, O Cuisnier, C Delalande
1Service d'ORL et de chirurgie cervico-faciale, CHU de Grenoble BP 217 38043 Grenoble.
Revue De Laryngologie - Otologie - Rhinologie
|October 4, 2002
Summary
Endoscopic surgery is recommended for paranasal sinus mucoceles, offering effective treatment. For extensive frontal mucoceles, a trans-frontal extradural approach remains a viable option.
Area of Science:
- Otolaryngology
- Neurosurgery
Context:
- Paranasal sinus mucoceles are cystic masses that can cause significant symptoms.
- Surgical management is necessary for symptomatic mucoceles.
Purpose:
- To describe the surgical management of paranasal sinus mucoceles.
- To evaluate the outcomes of different surgical approaches.
Summary:
- A retrospective study analyzed 45 patients with symptomatic mucoceles treated between 1981 and 2000.
- Surgical approaches included endonasal endoscopic marsupialization, trans-frontal extradural, and trans-facial procedures.
- Recurrence rates were 5/45, with longer follow-up for non-endoscopic approaches.
Impact:
- The endoscopic approach is recommended as the primary surgical treatment for most paranasal sinus mucoceles.
- Trans-frontal extradural approaches are still indicated for specific complex cases.
- Long-term follow-up is crucial for assessing surgical outcomes.