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Sinus mucoceles: is marsupialization enough?
G Har-El1, A N Balwally, F E Lucente
1Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, 11201, USA.
Summary
Marsupialization, a less invasive technique for treating sinus mucoceles, proved effective in 16 patients. This endoscopic sinus surgery approach showed no recurrence over a median follow-up of 32 months.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Traditional US teaching advocates complete sinus mucocelectomy for cure.
- European rhinologic surgeons often employ marsupialization for sinus mucoceles.
Observation:
- A series of 16 patients with various sinus mucoceles (frontal, ethmoid, sphenoid, maxillary) were treated.
- All procedures were performed transnasally using endoscopic control.
- Marsupialization was performed on all mucoceles, with 11 also receiving stents.
Findings:
- Intraoperative imaging (transillumination, X-rays) confirmed complete marsupialization and stent placement.
- No complications were reported during or after the procedures.
- Follow-up (8-62 months) revealed no evidence of mucocele recurrence.
Implications:
- Transnasal marsupialization is a safe and effective endoscopic treatment for sinus mucoceles.
- This minimally invasive technique offers a viable alternative to complete surgical removal.
- Further adoption of marsupialization could improve patient outcomes in sinus mucocele management.