Abstract
BackgroundMaxillary sinus mucoceles are relatively rare among all paranasal sinus mucoceles. With the introduction of endoscopic sinus surgical techniques, rhinologic surgeons prefer transnasal endoscopic management of sinus mucoceles. The aim of this study is to describe the clinical presentation of maxillary sinus mucoceles and to establish the efficacy of endoscopic management of sinus mucoceles.MethodsBetween 2003 and 2005, 14 patients underwent endoscopic sinus surgery for maxillary sinus mucocele. The presenting sign and symptoms, radiological findings, surgical management and need for revision surgery were reviewed.ResultsThere were eight males and six females with an age range of 14 to 65. Ten patients complained of nasal obstruction, five of nasal drainage, five of cheek pressure or pain and one of proptosis of the eye and cheek swelling. The maxillary sinus and ipsilateral ethmoid sinus involvement on computed tomographic studies was seen in 4 patients. Four patients had history of endoscopic ethmoidectomy surgery for ethmoid sinusitis and one had Caldwell-Luc operation in the past. Ethmoidectomy with middle meatal antrostomy and marsupialization of the mucocele was performed in all patients. Postoperative follow-up ranged between 8 to 48 months. All patients had a patent middle meatal antrostomy and healthy maxillary sinus mucosa. No patients need revision surgery.ConclusionThe most common causes of mucoceles are chronic infection, allergic sinonasal disease, trauma and previous surgery. In 64% of the patients of our study cause remains uncertain. Endoscopic sinus surgery is an effective treatment for maxillary sinus mucoceles with a favorable long-term outcome.
Highlights
Maxillary sinus mucoceles are relatively rare among all paranasal sinus mucoceles
Maxillary sinus mucoceles are relatively rare, accounting for 10% or less of all paranasal sinus mucoceles described in the United States or Europe
This study is a retrospective review of 14 patients with maxillary sinus mucoceles treated at the Department of Otorhinolaryngology in Baskent University Adana Teaching and Research Medical Center between 2003 and 2005
Summary
Maxillary sinus mucoceles are relatively rare among all paranasal sinus mucoceles. They are cyst-like structures lined by the mucoperiosteum of the involved sinus [1,2]. Maxillary sinus mucoceles are relatively rare, accounting for 10% or less of all paranasal sinus mucoceles described in the United States or Europe. It is more commonly (page number not for citation purposes). They can cause significant pathology as a result of their effects on surrounding vital structures, mainly in the periorbital region [7,8,9]. The most common causes of mucoceles are chronic infection, allergic sinonasal disease, trauma, previous surgery and in some cases cause remains uncertain [1,2]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
