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Endoscopic sinus surgery for mucoceles: a viable alternative.
D W Kennedy1, J S Josephson, S J Zinreich
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, Md.
The Laryngoscope
|September 1, 1989
Summary
Functional endoscopic surgery offers a minimally invasive approach for paranasal sinus mucoceles, reducing complications. This technique allows for accurate follow-up and preserves CT imaging capabilities, with promising preliminary results.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
Background:
- Paranasal sinus mucoceles can cause significant morbidity.
- Traditional surgical approaches may involve extensive procedures.
- Endoscopic surgery offers a less invasive alternative.
Observation:
- This study evaluated 18 cases of paranasal sinus mucoceles treated with functional endoscopic surgery.
- Preoperative symptoms included proptosis, diplopia, Pott's puffy tumor, and frontal sinus erosion.
- The procedure was performed under local anesthesia.
Findings:
- Fifteen out of 18 patients (83%) were successfully treated with endoscopic sinus surgery.
- Two cases required conversion to external surgery due to approach limitations.
- One patient experienced persistent disease, with no recurrence noted in others during follow-up up to 42 months.
Implications:
- Functional endoscopic surgery is a viable, less invasive option for managing paranasal sinus mucoceles.
- The technique reduces operative morbidity and allows for effective endoscopic follow-up.
- Preservation of CT imaging is an advantage over sinus obliteration methods.