Endoscopic Sinus Surgery in Paranasal Sinus Mucoceles

Lee, Kyung Chul; Kwon, Kee Hwan; Kang, Hyun Gug; Jin, Sung Min; Lee, Yong Bae

Abstract

BACKGROUND: The term mucocele was introduced by Rollet in 1896 and Onodi gave the first histological description in 1901. A variety of conservative and radical surgical procedures have been introduced and each approach has its proponents and opponents.
OBJECTIVES
The purpose of this report is to share the experiences of functional endoscopic sinus surgery for paranasal sinuse mucoceles.
MATERIALS AND METHODS
Ten patients diagnosed as having paranasal sinus mucocele underwent endoscopic marsupialization from July 1989 to December 1996. The follow-up period was between 2 months and 69 months with a mean of 37.9 months.
RESULTS
Endoscopic surgery was attempted in 4 ethmoid, 4 maxillary, 1 frontoethmoid and 1 frontal sinus mucocele. Five cases had preoperative proptosis, four had nasal stuffiness and three had ophthalmoplegia and visual disturbance, and two had frontal headache. Computed tomography scan revealed that 7 cases had erosion of sinus wall. No disease recurrence has been noted to date with endoscopic follow-up of up to 69 months.
CONCLUSION
Functional endoscopic sinus surgery provides good surgical results in the treatment of frontal, ethmoid, and maxillary sinus mucoceles with the advantage of restoration of functional drainage system.