Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-29T01:51:03.928Z Has data issue: false hasContentIssue false

Surgical treatment of nasolabial cysts in a single institute

Published online by Cambridge University Press:  30 January 2020

D H Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Jeonnam, South Korea
T M Yoon
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Jeonnam, South Korea
J K Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Jeonnam, South Korea
S C Lim*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Jeonnam, South Korea
*
Author for correspondence: Dr Sang Chul Lim, Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, 160 Ilsimri, Hwasun, Jeonnam519-809, South Korea E-mail: [email protected] Fax: +82 61 379 7761

Abstract

Objectives

To analyse the results of treatment for nasolabial cysts according to whether an intraoral sublabial or endoscopic transnasal approach was used, and to determine the recent surgical trend in our hospital.

Methods

Twenty-four patients with a histopathologically and radiologically confirmed nasolabial cyst between January 2010 and December 2017 were enrolled in this study.

Results

Nasolabial cysts were predominant in females (91.7 per cent) and on the left side (54.2 per cent). Treatment involved an intraoral sublabial approach in 12 cases (48.0 per cent) and a transnasal endoscopic approach in 13 cases (52.0 per cent). In 13 cases (52.0 per cent) surgery was performed under local anaesthesia, while in 12 cases (48.0 per cent) it was conducted under general anaesthesia. The most common post-operative complications were numbness of the upper lip or teeth (n = 9, 36.0 per cent). Only one patient (4.0 per cent), who underwent a transnasal endoscopic approach, experienced a reoccurrence.

Conclusion

Surgical resection through an intraoral sublabial or transnasal endoscopic approach is the best treatment for a nasolabial cyst, showing very good results and a low recurrence rate. The recent surgical trend in our hospital is to treat nasolabial cysts using a transnasal endoscopic approach under local anaesthesia.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr S C Lim takes responsibility for the integrity of the content of the paper

References

1Yuen, HW, Julian, CY, Samuel, CL.Nasolabial cysts: clinical features, diagnosis, and treatment. Br J Oral Maxillofac Surg 2007;45:293–7CrossRefGoogle ScholarPubMed
2Boffano, P, Gallesio, C, Campisi, P, Roccia, F.Diagnosis and surgical treatment of a nasolabial cyst. J Craniofac Surg 2011;22:1946–8CrossRefGoogle ScholarPubMed
3Sheikh, AB, Chin, OY, Fang, CH, Liu, JK, Baredes, S, Eloy, JA.Nasolabial cysts: a systemic review of 311 cases. Laryngoscope 2016;126:60–6CrossRefGoogle Scholar
4Choi, JH, Cho, JH, Kang, HJ, Chae, SW, Lee, SH, Hwang, SJ et al. Nasolabial cyst: a retrospective analysis of 18 cases. Ear Nose Throat J 2012;81:94–6CrossRefGoogle Scholar
5Özer, S, Cabbarzade, C, Ögretmenoglu, O.A new transnasal approach to nasolabial cyst: endoscopic excision of nasolabial cyst. J Craniofac Surg 2013;24:1748–9CrossRefGoogle ScholarPubMed
6Yeh, CH, Ko, JY, Wang, CP.Transcutaneous ultrasonography for diagnosis of nasolabial cyst. J Craniofac Surg 2017;28:e2212CrossRefGoogle ScholarPubMed
7Narain, S.Nasolabial cyst: clinical presentation and differential diagnosis. J Maxillofac Oral Surg 2015;14(suppl 1):S710CrossRefGoogle ScholarPubMed
8Cohen, MA, Hertzanu, Y.Huge growth potential of the nasolabial cyst. Oral Surg Oral Med Oral Pathol 1985;59:441–5CrossRefGoogle ScholarPubMed
9Su, CY, Chien, CY, Hwang, CF.A new transnasal approach to endoscopic marsupialization of the nasolabial cyst. Laryngoscope 1999;109(7 Pt 1):1116–18CrossRefGoogle ScholarPubMed
10Lee, JY, Baek, BJ, Byun, JY, Chang, HS, Lee, BD, Kim, DW.Comparison of conventional excision via a sublabial approach and transnasal marsupialization for the treatment of nasolabial cysts: a prospective randomized study. Clin Exp Otorhinolaryngol 2009;2:85–9CrossRefGoogle Scholar