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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Management of nasolabial cysts by transnasal endoscopic marsupialization
Wei-Chieh Chao1, Chi-Che Huang, Po-Hong Chang
1Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital, Chang Gung University, Kuei Shan, Taoyuan, Taiwan.
Objective:
To evaluate hospitalization rates and duration of surgery associated with transnasal endoscopic marsupialization compared with sublabial excision in treating nasolabial cysts.
Design:
Retrospective clinical series.
Setting:
Large urban community hospital.
Patients:
Consecutive sample of 57 patients with nasolabial cysts treated from January 1, 2000, to February 29, 2008.
Interventions:
Sublabial excision in 23 patients (sublabial group) and transnasal endoscopic marsupialization in 34 patients (transnasal group). Among 57 patients, 47 underwent preoperative computed tomography.
Main Outcome Measures:
History, clinical presentation, preoperative condition, histopathologic findings, treatment, complications, and outcomes.
Results:
The mean duration of surgery was 91.3 minutes in the sublabial group and 29.5 minutes in the transnasal group (P = .003). The hospitalization rate was 100% (23 of 23) in the sublabial group and 59% (20 of 34) in the transnasal group (P < .001). The medical costs were significantly lower in the transnasal group than in the sublabial group (P = .002). The follow-up period ranged from 6 to 85 months. Neither group of patients experienced any major complications or recurrences during the follow-up period.
Conclusion:
Transnasal endoscopic marsupialization is an effective treatment for nasolabial cysts, is less costly, and has fewer complications than sublabial excision.
