Mucocele and Mucopyocele

Zada, Gabriel; Lopes, M. Beatriz S.; Mukundan, Srinivasan; Laws, Edward R.

doi:10.1007/978-3-319-22855-6_53

Cited by 1 publication

(2 citation statements)

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“…A possible delayed complication following EESBS is the formation of a sinonasal mucocele, which is a cystic collection of mucinous secretions that occurs when sinonasal mucosa is entrapped without an outflow tract for produced secretions [ 45 ]. There is potential for this to occur in EESBS if a nasoseptal flap is used to cover a defect without ensuring that all mucosa underneath the flap is removed.…”

Section: Discussionmentioning

confidence: 99%

“…A large case series found the incidence of iatrogenic mucocele to be 2% following EESBS with nasoseptal flap reconstruction, and these cases are generally detected several months following surgery [ 46 ]. Mucoceles can be detected and differentiated from adenoma recurrence with MRI, which typically reveals the mucocele to have hyperintense contents on T2 sequence with contrast enhancement of the entrapped mucosa on T1 sequence [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

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Otolaryngology Considerations of Pituitary Surgery: What an Endocrinologist Should Know

Cheng

Saraswathula

Qureshi

et al. 2023

Journal of the Endocrine Society

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Endoscopic endonasal skull base surgery (EESBS) is the preferred surgical approach for the management of pituitary adenomas. Perioperative management of pituitary lesions requires multidisciplinary care, and typically includes a dual surgeon team consisting of a neurosurgeon and an otolaryngologist. The involvement of the otolaryngologist allows for a safe surgical approach with excellent intraoperative visualization of the tumor to enable an effective resection of the tumor by the neurosurgeon. Detection and treatment of sinonasal pathology is essential prior to surgery. Patients may experience sinonasal complaints following endoscopic transsphenoidal surgery, although this is typically temporary. Sinonasal care in the postoperative period can expedite recovery to baseline. Here, we discuss the perioperative factors of endoscopic pituitary surgery that endocrinologists should be aware of, ranging from preoperative patient selection and optimization to postoperative care, with a particular emphasis on anatomic and surgical factors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%