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Transnasal endoscopic surgery of post-operative maxillary cysts

Published online by Cambridge University Press:  23 February 2015

M Sawatsubashi ,
D Murakami ,
M Oda  and
S Komune
M Sawatsubashi*
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
D Murakami
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
M Oda
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, ENT Surgery Centre, Yuai-kai Oda Hospital, Kashima, Saga, Japan
S Komune
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
*
Address for correspondence: Motohiro Sawatsubashi, Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka 812-8582, Japan Fax: +81 92 642 5685, E-mail: [email protected]
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Abstract

Objective:

The present study investigates the indications for transnasal endoscopic surgery in treating post-operative maxillary cysts.

Methods:

In this retrospective study, the records of 118 patients with post-operative maxillary cysts (88 unilateral and 30 bilateral) consisting of 148 procedures were reviewed.

Results:

A transnasal endoscopic approach was performed in 144 lesions (97.3 per cent). A combined endonasal endoscopic and canine fossa (external) approach was performed in 4 of 148 lesions, because the cysts were located distant from the nasal cavity and had a thick bony wall. A ventilation stent was placed in four patients (four cysts) to avoid post-operative meatal antrostomy stenosis. Recurrence was observed in five patients (4.2 per cent), all of whom subsequently underwent transnasal endoscopic revision surgery.

Conclusion:

Transnasal endoscopic surgery is an effective treatment for post-operative maxillary cyst with the exception of cysts located distant from the nasal cavity.

Keywords

mucoceleMaxillary SinusEndoscopic Surgical ProcedureNascal cavity
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue S2 , March 2015 , pp. S46 - S51
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

This study was partially presented at the 114th Annual Meeting of the ORL Society of Japan, Sapporo, Japan, 16 May 2013.

References

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