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Endoscopic management of paranasal sinus mucocoeles

Published online by Cambridge University Press:  29 June 2007

Valerie J. Lund
Valerie J. Lund*
Affiliation:
Professorial Unit, Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
*
Address for correspondence: Valerie J. Lund, M.S., F.R.C.S., F.R.C.S.(Ed.), Professor in Rhinology, Honorary Consultant ENT Surgeon, Royal National Throat Nose and Ear Hospital, 330-332 Gray's Inn Road, London WC1X 8DA. Fax: 0171 833 9480
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Abstract

Mucocoeles of the paranasal sinuses are relatively uncommon and in the past have been generally treated by an external surgical approach. Forty-eight mucocoeles in the frontal, fronto-ethmoidal and sphenoidal sinuses have been treated during the last five years, 20 by an entirely endonasal endoscopic approach and 28 by a combination of an external procedure and an endoscopic approach. There were no recurrences in the endoscopic group, with a mean follow-up of 34 months whilst three recurrences occurred in the combined external and endoscopic group which had a mean follow-up of 44 months. This may reflect the complexity and severity of concomitant disease. If a wide marsupialization can be achieved by an entirely endoscopic approach there are a number of advantages, notably a lack of facial scarring in children and young adults.

Keywords

MucocoeleParanasal sinusesEndoscopySurgeryoperative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 1 , January 1998 , pp. 36 - 40
Copyright
Copyright © JLO (1984) Limited 1998

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References

Beasley, N. J. P., Jones, N. S. (1995) Paranasal sinus mucoceles, modern management. American Journal of Rhinology 9: 251–256.CrossRefGoogle Scholar
Benninger, M. S., Marks, S. (1995) The endoscopic management of sphenoid and ethmoid mucoceles with orbital and intranasal extension. Rhinology 33: 157–161.Google ScholarPubMed
Canalis, J. G., Zajtchuk, J. T., Jenkins, H. A. (1978) Ethmoidal mucoceles. Archives of Otolaryngology 104: 268–291.Google ScholarPubMed
Harrison, D. F. N., Lund, V. J. (1991) Conditions simulating neoplasia. In Tumours of the Upper Jaw. Churchill Livingstone, Edinburgh, pp 54–62.Google Scholar
Hu, X. H., Lin, D. Z. (1982) Mucocele des sinus. Revue de Laryngologie, Otologie, et Rhinologie 103: 199–201.Google Scholar
Kennedy, D. W., Josephson, J. S., Zinreich, S. J., Mattox, D. E., Goldsmith, M. M. (1989) Endoscopic sinus surgery for mucoceles: A viable alternative. Laryngoscope 99: 885–895.CrossRefGoogle ScholarPubMed
Li, J., Stankiewicz, J. A. (1991) The endoscopic approach to the lateral accessory sphenoid sinus. Otolaryngology-Head and Neck Surgery 105: 612.Google Scholar
Lund, V. J. (1987) Anatomical considerations in the aetiology of fronto-ethmoidal mucoceles. Rhinology 25: 83–88.Google ScholarPubMed
Lund, V. J., Henderson, B., Yu Song, (1993) Involvement of cytokines and vascular adhesion receptors in the pathology of fronto-ethmoidal mucocoeles. Acta Otolaryngologica (Stockh) 113: 540–546.CrossRefGoogle ScholarPubMed
Lund, V. J., Milroy, C. M. (1991) Fronto-ethmoidal mucocoeles: a histopathological analysis. Journal of Laryngology and Otology 105: 921–923.CrossRefGoogle ScholarPubMed
Lund, V. J., Rolfe, M. E. (1989) Ophthalmic considerations in fronto-ethmoidal mucocoeles. Journal of Laryngology and Otology 103: 667–669.CrossRefGoogle ScholarPubMed
Lund, V. J., Wilson, H., Sajeda, M., Harris, M. (1988) Prostaglandin synthesis in the pathogenesis of frontoethmoidal mucocoeles. Acta Otolaryngologica (Stockh) 106: 145–151.CrossRefGoogle Scholar
Moriyama, H., Nakajima, T., Honda, Y. (1992) Studies on mucocoeles of the ethmoid and sphenoid sinuses: Analysis of 47 cases. Journal of Laryngology and Otology 102: 23–27.CrossRefGoogle Scholar
Natvig, K., Larsen, T. E. (1978) Mucocoele of the paranasal sinuses. Journal of Laryngology and Otology 92:1075–1982.CrossRefGoogle ScholarPubMed
Naudo, P., Gilain, L., Coste, A., Lelievre, G., Peynegre, R. (1994) Chirurgie fonctionelle endoscopique des mucoceles sinusiennes. Annales de Otolaryngologie Chirurgie Cervicofaciale 111(1): 23–27.Google Scholar
Rubin, J. S., Lund, V. J., Salmon, B. (1986) Frontoethmoidectomy in the treatment of mucoceles. Archives of Otolaryngology-Head and Neck Surgery 112: 434–436.CrossRefGoogle ScholarPubMed
Zizmour, J., Noyek, A. M. (1968) Cysts and benign tumours of the paranasal sinuses. Seminars in Roentgenology 3: 172–185.CrossRefGoogle Scholar
Zrada, S. E., Issacson, G. C. (1996) Endoscopic treatment of pediatric ethmoid mucoceles. American Journal of Otolaryngology 17: 197–201.CrossRefGoogle ScholarPubMed