Endoscopic Management of Paranasal Sinus Mucoceles: Experience With 46 Patients

Nazar, Rodolfo; Naser, Alfredo; Pardo, Javiera; Fullá, Juan; Rodríguez-Jorge, Jesús; Délano, Paul H.

doi:10.1016/j.otoeng.2011.04.001

Cited by 16 publications

(10 citation statements)

References 8 publications

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“…[8][9][10] Nazar ve ark. [11] çalışmalarında frontoetmoid mukoselinde en çok semptom gözde hacim artışı, baş ağrısı, maksiller olanda ise burun akıntısı ve burun tıkanıklığıydı. Bizim olgumuzda da kitlenin büyüklüğüne bağlı boşluğun tıkanması nedeniyle burun tıkanıklığı, öne doğru genişlemesine bağlı yanakta şişlik ve baş ağrısı vardı.…”

Section: Discussionunclassified

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A giant maxillary sinus mucocel bleeding massively during operation

Evren¹

2014

Praxis of ORL

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Paranazal sinüs mukoselleri mukus birikimi nedeniyle lokal genişleme gösteren, benign kitlelerdir. Benign karakterde olmalarına rağmen, büyük boyutlara ulaşarak çevre kemiklerde yarattıkları basınç ile yıkıma yol açabilirler. Maksiller sinüs mukosellerinin tedavisi cerrahidir. Bu yazıda dev sağ maksiller sinüs mukoseli olan 50 yaşında bir erkek olgu sunuldu. Ameliyat sırasında hastanın 1800 ml kanaması oldu. Hastalığın ayırıcı tanısı ve cerrahi tedavi seçenekleri literatür verileri eşliğinde gözden geçirildi.Anahtar Sözcükler: Kanama; maksiler sinüs; mukosel.Mucoceles of the paranasal sinuses are benign masses which show local enlargement due to mucus collection. Despite their benign nature, they can expand in huge sizes resulting in the destruction of the bone by the pressure at the surrounding bone. The treatment of maxillary sinus mucoceles is surgical. In this article, we report a 50-year-old male case with a giant mucocele of the right maxillary sinus. The patient had 1800 ml bleeding during surgery. The differential diagnosis of the disease and the surgical treatment options were reviewed in the light of the literature data.

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Section: Discussionunclassified

“…Nazar ve ark. [11] yaptıkları retrospektif çalışmada mukoseli olan 46 hastayı incelemiş ve mukoselin, hastaların 29'unda frontoetmoid, 14'ünde maksiller, üçünde sfenoid kaynaklı olduğunu bildirmişlerdir. Yazarlar ayrıca hastalarının %87'sine sadece endoskopik yaklaşımda bulunduklarını bildirmişlerdir.…”

Section: Discussionunclassified

A giant maxillary sinus mucocel bleeding massively during operation

Evren¹

2014

Praxis of ORL

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“…8 Endoscopic sinus surgery has taken the stage due to their minimally invasive nature, preservation of the bone structure of the affected sinus, shorter operation time, avoidance of external incisions and a lower hospitalisation cost. 1,44 Frontoethmoidal endoscopic marsupialisation (excision, drainage, and suturing) is an excellent choice, especially in the absence of intracranial complication. 1,2 It has been recommended that referral to oculoplastic specialists for orbital reconstruction be on hold, until there is improvement in symptoms, 25 as the orbital reconstructive material can cause recurrent sinus mucoceles by blocking the outflow of sinus mucous material.…”

Section: External Examination and Sinus Evaluationmentioning

confidence: 99%

Frontoethmoidal mucocele presenting with ocular manifestations

Roncone

2020

Clinical and Experimental Optometry

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Mucocele of the paranasal sinuses is a slowly expanding benign lesion developing when there is impeded physiological drainage of the mucous produced by the epithelial lining of the paranasal sinuses, at the sinus ostium, which is an opening that connects the sinus to the nasal cavity. Aetiologies of ostial occlusion include infection, allergy, trauma, previous surgery, benign neoplasm (osteoma or fibrous dysplasia), and malignant or metastatic tumours. Mucoceles commonly develop in the frontal sinus (70–80 per cent), followed by the ethmoid (25 per cent), frontoethmoidal (10–14 per cent), and maxillary (three per cent or less) sinuses. The most common manifestations in these cases are ocular oedema, proptosis (22–83 per cent), and diplopia (28 per cent). Due to these ocular signs and symptoms, the optometrist may be first in line managing paranasal sinus disease patients, reducing the risk of permanent damage. A case report and review of frontoethmoidal mucocele will be discussed in this report, to include the role of the optometrist in its management and treatment.

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“…La región frontoetmoidal es la localización más habitual 3 , representando el seno esfenoidal menos del 10% de todos los mucoceles de los senos paranasales [4][5][6] .…”

Section: Introductionunclassified

Sospecha clínica y tratamiento quirúrgico de los mucoceles esfenoidales

et al. 2015

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Los mucoceles son formaciones benignas de lento crecimiento que pueden aparecer en cualquier seno paranasal, representando el seno esfenoidal menos del 10%. Objetivo: Presentamos nuestra experiencia de mucoceles en el seno esfenoidal. Material y método: Se obtuvieron los datos a partir de nuestra base de datos que recoge prospectivamente los casos de tumores de cabeza y cuello. Entre enero 1989 y enero 2013 se registraron 58 mucoceles en 54 pacientes, de los cuales 4 (7%) eran de seno esfenoidal. Tres pacientes eran mujeres y uno varón, con edades comprendidas entre 42 y 61 años. Todas las lesiones fueron estudiadas con endoscopía nasal, tomografía computarizada y resonancia magnética. Resultados: Tres pacientes presentaron un antecedente quirúrgico de seno paranasal. El síntoma más frecuente fue la cefalea (3 pacientes de 4). Dos pacientes presentaron diplopía y uno pérdida progresiva de agudeza visual, requiriendo manejo quirúrgico urgente. Todos fueron tratados con esfenoidotomía por abordaje endoscópico endonasal. Fueron dados de alta a las 48 h posteriores con antibioticoterapia. Ninguno presentó recidiva. Conclusión: Los mucoceles esfenoidales representan menos del 10% de los mucoceles nasosinusales. La pérdida de agudeza visual requiere un rápido diagnóstico y manejo terapéutico quirúrgico urgente. El tratamiento de elección es la marsupialización.

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Endoscopic Management of Paranasal Sinus Mucoceles: Experience With 46 Patients

Cited by 16 publications

References 8 publications

A giant maxillary sinus mucocel bleeding massively during operation

A giant maxillary sinus mucocel bleeding massively during operation

Frontoethmoidal mucocele presenting with ocular manifestations

Sospecha clínica y tratamiento quirúrgico de los mucoceles esfenoidales

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