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Paranasal sinus mucoceles with skull-base and/or orbital erosion: is the endoscopic approach sufficient?
- Source :
-
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2008 Oct; Vol. 139 (4), pp. 570-4. - Publication Year :
- 2008
-
Abstract
- Objective: The objective of this study was to review the management of paranasal sinus mucoceles with skull-base and/or orbital erosion in the endoscopic era.<br />Study Design: A retrospective data analysis.<br />Methods: A chart review was performed on 57 patients treated from January 2001 to March 2007.<br />Results: The average age at the time of presentation was 50.6 years with a 1:1 male: female ratio. The most common site was the frontal sinus (54.4%), followed by frontoethmoid (29.8%) and sphenoid (8.8%). Areas of erosion included skull base (40.4%), orbit (50.9%), and both orbit and skull base (8.8%). Endoscopic drainage using image guidance was used in all 57 patients without complications. Fifty-six cases (98.2%) had a functionally patent mucocele opening with a median follow-up of 15 months.<br />Conclusions: The endoscopic approach can be safely used for the management of mucoceles with skull-base and/or orbital erosion. Open adjunct approaches can be avoided in most cases.
- Subjects :
- Adolescent
Adult
Endoscopy
Female
Frontal Sinus
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Mucocele pathology
Orbit pathology
Paranasal Sinus Diseases pathology
Reoperation
Retrospective Studies
Skull Base pathology
Tomography, X-Ray Computed
Visual Acuity
Mucocele surgery
Paranasal Sinus Diseases surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0194-5998
- Volume :
- 139
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 18922346
- Full Text :
- https://doi.org/10.1016/j.otohns.2008.07.004