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Journal Information
Vol. 62. Issue 5.
Pages 363-366 (September - October 2011)
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Vol. 62. Issue 5.
Pages 363-366 (September - October 2011)
Original article
Endoscopic Management of Paranasal Sinus Mucoceles: Experience With 46 Patients
Manejo endoscópico de mucoceles de senos paranasales: experiencia en 46 pacientes
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Rodolfo Nazara,
Corresponding author
rnazars@gmail.com

Corresponding author.
, Alfredo Nasera, Javiera Pardoa, Juan Fullaa, Jesús Rodríguez-Jorgeb, Paul H. Delanoa
a Servicio de Otorrinolaringología, Hospital Clínico de la Universidad de Chile, Santiago, Chile
b ENT University Hospital, Eberhard-Karls-Universität, Department of Otolaryngology and Head and Neck Surgery, Tuebingen, Germany
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Tables (2)
Table 1. Description of the Location of Paranasal Mucoceles.
Table 2. Symptoms Related to the Location of Mucoceles.
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Abstract
Objective

The purpose of this study was to determine changes in the surgical treatment of patients with the diagnosis of paranasal mucoceles managed in a Latin American hospital. We hypothesised that endonasal endoscopic surgeries had emerged as the main treatment option for this disease in the last five years.

Methods

A retrospective chart review of all patients who were diagnosed with paranasal sinus mucoceles and treated at the Otorhinolaryngology Head and Neck Department of our hospital from 2002 to 2010 was performed. Patient demographic data, mucoceles location, symptoms, surgical approach and complications were recorded.

Results

A total of 46 patients were included (27 males; 19 females). This series include 29 patients (63%) with frontal or fronto-ethmoidal mucoceles, 14 (30.4%) with maxillary and 3 (6.5%) with sphenoid mucoceles. Ninety-five percent of the patients were treated with intranasal endoscopic surgery. Complications occurred only in 7 cases (15.2%).

Conclusions

This study confirms that over the last 9 years significant changes have occurred in the surgical treatment of paranasal mucocele in our hospital, as endoscopic surgeries increased from 34% to over 90% as the first option of treatment for mucoceles.

Keywords:
Mucoceles
Endoscopic sinus surgery
Latin America
Resumen
Objetivo

El propósito de este estudio es determinar los cambios en el tratamiento quirúrgico de los pacientes con diagnóstico de mucocele paranasal manejados en un hospital terciario de Latinoamérica. Nuestra hipótesis es que en los últimos ocho años la cirugía endoscópica endonasal ha emergido como la principal opción de tratamiento para esta patología.

Material y métodos

Estudio retrospectivo descriptivo de todos los pacientes que fueron diagnosticados y tratados por mucocele de seno paranasal en el Departamento de Otorrinolaringología y Cirugía de Cabeza y Cuello de nuestro hospital durante los años 2002 al 2010. Se registraron datos demográficos de los pacientes, localización del mucocele, síntomas, abordaje quirúrgico y complicaciones.

Resultados

Se incluyeron un total de 46 pacientes (27 de sexo masculino y 19 femenino). Esta serie comprendió 29 pacientes con mucocele frontal o frontoetmoidal (63%), 14 con mucocele maxilar (30,4%) y 3 pacientes con mucocele esfenoidal (6,5%). El 95% de los pacientes fueron tratados con cirugía endoscópica endonasal. Sólo 7 casos presentaron complicaciones (15,2%).

Conclusiones

Este estudio confirma que en los últimos 9 años ha ocurrido un cambio significativo en el tratamiento quirúrgico de los mucoceles de cavidades paranasales, con un aumento de la cirugía endoscópica de un 34% a más de un 90%, siendo la primera opción de tratamiento.

Palabras clave:
Mucoceles
Cirugía endoscópica endonasal
Latinoamérica

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