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Paranasal sinus mucoceles: our clinical experiments.
Murat Topdag1, Mete Iseri1, Fatih Sari2
1Department of ENT, Medical Faculty, Kocaeli University Kocaeli, Turkey.
International Journal of Clinical and Experimental Medicine
|January 16, 2016
Summary
Paranasal sinus mucoceles are surgically treated, with endoscopic marsupialization being the primary method. Careful surgical planning is essential to prevent complications from these bone-eroding masses.
Area of Science:
- Otolaryngology
- Neurosurgery
- Medical Imaging
Background:
- Paranasal sinus mucoceles are benign, expansile cysts that can cause significant symptoms due to bone erosion.
- Accurate diagnosis and appropriate surgical intervention are crucial for successful management.
Purpose of the Study:
- To evaluate the clinical and radiological characteristics of paranasal sinus mucoceles.
- To analyze surgical treatment protocols and outcomes.
- To review medium-long-term results and relevant literature.
Main Methods:
- Retrospective analysis of 18 patients (11 female, 7 male) treated between 2006-2013.
- Inclusion of demographic, radiological, symptomatic, and treatment data.
- Surgical procedures included endoscopic marsupialization, osteoplastic flap, and Caldwell-Luc operation.
Main Results:
- Maxillary sinus (50%) was most commonly affected, followed by frontal (33%) and sphenoidal (16%).
- Headache was the predominant symptom.
- Endoscopic marsupialization was performed in all patients; revision surgery was needed in 6%.
Conclusions:
- Paranasal sinus mucocele management requires careful surgical planning to avoid complications.
- Surgical intervention is the standard treatment for symptomatic mucoceles.
- Endoscopic techniques offer effective treatment with low complication rates.
