The first eletrocnic Journal of Otolaryngology in the world
ISSN: 1809-9777

E-ISSN: 1809-4864

 
2280 

Year: 2019  Vol. 23   Num. 1  - Jan/Mar - (15º)
DOI: 10.1055/s-0038-1668126
Section: Original Article
 
Mucocele: Clinical Characteristics and Outcomes in 46 Operated Patients
Author(s):
Diogo Barreto Plantier, Deusdedit Brandão Neto, Fabio de Rezende Pinna, Richard Louis Voegels
Key words:
mucocele - paranasal sinus diseases - chronic rhinosinusitis - endoscopic sinus surgery - marsupialization
Abstract:

Introduction Paranasal sinus mucocele is a benign, expansive lesion associated with paranasal sinus obstruction. It affects mostly adults, and is most common in the frontal and ethmoidal sinuses.

Objective To evaluate outcomes in patients undergoing surgical treatment for paranasal sinus mucocele.

Methods Retrospective review of medical records of patients treated for paranasal sinus mucocele at the ENT department of a tertiary care hospital between 2005 and 2016.

Results Forty-six patients underwent surgical treatment of paranasal sinus mucocele. The mean age was 50.1 years, and 56.5% were male. The most prevalent symptom was pain, and the frontal sinus was most commonly affected. The vast majority of patients (89.1%) underwent endoscopic sinus marsupialization; 10.9% required combined open and endoscopic access. Seven recurrences occurred.

Conclusion Sinus mucocele is an expansive disease that primarily affects the frontal sinus of adult patients. In most cases, endoscopic surgery is an effective treatment modality.

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