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Endoscopic management of paranasal sinus mucocoeles

Published online by Cambridge University Press:  29 June 2007

Valerie J. Lund
Valerie J. Lund*
Affiliation:
Professorial Unit, Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
*
Address for correspondence: Valerie J. Lund, M.S., F.R.C.S., F.R.C.S.(Ed.), Professor in Rhinology, Honorary Consultant ENT Surgeon, Royal National Throat Nose and Ear Hospital, 330-332 Gray's Inn Road, London WC1X 8DA. Fax: 0171 833 9480
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Abstract

Mucocoeles of the paranasal sinuses are relatively uncommon and in the past have been generally treated by an external surgical approach. Forty-eight mucocoeles in the frontal, fronto-ethmoidal and sphenoidal sinuses have been treated during the last five years, 20 by an entirely endonasal endoscopic approach and 28 by a combination of an external procedure and an endoscopic approach. There were no recurrences in the endoscopic group, with a mean follow-up of 34 months whilst three recurrences occurred in the combined external and endoscopic group which had a mean follow-up of 44 months. This may reflect the complexity and severity of concomitant disease. If a wide marsupialization can be achieved by an entirely endoscopic approach there are a number of advantages, notably a lack of facial scarring in children and young adults.

Keywords

MucocoeleParanasal sinusesEndoscopySurgeryoperative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 1 , January 1998 , pp. 36 - 40
Copyright
Copyright © JLO (1984) Limited 1998

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