Microdebrider-Assisted Endoscopic Marsupialization for the Nasolabial Cyst: Comparisons between Sublabial and Transnasal Approaches

Abstract

Background The incidence of nasolabial cysts is very low. Simple excision through a sublabial approach is the treatment of choice. The aim of this study was to evaluate the microdebrider as a tool in transnasal endoscopic marsupialization for nasolabial cysts and compare it with conventional instruments and a sublabial approach for cyst removal. Methods Retrospective chart review of 30 patients (31 cysts) with a mean age of 46.9 years received surgical treatments for nasolabial cysts. We performed three types of surgical procedures including the sublabial approach (10 cysts), conventional transnasal marsupialization (13 cysts), and microdebrider-assisted marsupialization (8 cysts). Results Patients that received surgery with the sublabial approach experienced significant increases in operation time, blood loss, and hospitalized time compared with those treated with transnasal marsupialization. However, the number of postoperative stoma stenoses was higher for conventional transnasal marsupialization (two cases). No recurrences or other postoperative complications were found during the follow-up. Conclusion The transnasal marsupialization of nasolabial cysts has remarkable benefits compared with sublabial cyst excision during operation. Microdebriders can be used safely and effectively in endoscopic marsupialization without stoma stenosis.

A New Transnasal Approach to Nasolabial Cyst

“…3,4 Excision via sublabial incision is the classic surgical treatment of NC. 1,3,5,6,9 Marsupialization, injection of sclerotic agents, cauterization, aspiration, and incision and drainage are the other surgical modalities. 1 Sublabial excision has some advantages, such as good exposure of area and total excision of the NC, but on the other hand, it requires general anesthesia and causes larger soft-tissue trauma.…”

“…After sublabial excision, there could be some complications such as facial swelling, pain, hematoma, oronasal fistulae, infection, and numbness of gingiva and teeth. 2,3,5 As the basal mucosa of the nose is very thin, it is difficult to protect this area during sublabial excision. During dissection from the nasal floor, extra care should be given to avoid rupture.…”

Nasolabial Cyst Associated with Odontogenic Infection

“…Alternative methods of treatment have been suggested, including aspiration, cauterization, injection of sclerosing agents, and incision with drainage. However, these methods are associated with higher rates of relapse [3, 11, 12, 15]. Therefore, in view of the ease of surgical resection and its curative potential, we believe this procedure should be the treatment of choice in most cases.…”

“…The treatment of nasolabial cysts can be accomplished with a fine aspiration needle or through incision and drainage, cystic enucleation for intraoral access, marsupialization, use of endoscopic [8, 11] or sclerosing agents [4], or intralesional injection.…”

Nazolabial kistte cerrahi yaklaşım: İki olgu sunumu

“…Ancak Su ve arkada lar (26) 17 vakada hiçbir rekürrens gözlenmeden sonuçlanan, yeni bir transnazal marsüpyalizasyon metodu gerçekle tirmi tir (27). Chen ve arkada lar nazolabial kist için microdebrider ile endoskopik marsüpyalizasyonu rapor etmi tir (28). Sublabial yakla m (10 vakada), konvansiyonel transnazal marsüpyalizasyon (13 vakada), ve microdebriber ile marsüpyalizasyon (8 vakada) i lemlerini içeren 3 tip cerrahi i lemi kar lat rm lard r. Cerrahi prosedür ve çal ma zaman aç s ndan, transnazal marsüpyalizasyonun gingival flep kald rmay ve kisti diseke etmeyi gerektirmeyen sublabial yakla mdan daha kolay ve çabuk oldu u bulunmu tur.…”