Advertisement

European Archives of Oto-Rhino-Laryngology

, Volume 268, Issue 11, pp 1583–1587 | Cite as

Transnasal endoscopic marsupialization of postoperative maxillary mucoceles: middle meatal antrostomy versus inferior meatal antrostomy

  • Chien-Chia Huang
  • Chiang-Wen Chen
  • Ta-Jen Lee
  • Po-Hung Chang
  • Yi-Wei Chen
  • Ying-Lin Chen
  • Chia-Hsiang Fu
  • Chia-Chen Wu
  • Chi-Che HuangEmail author
Rhinology

Abstract

The aim of this study was to evaluate the efficacy of transnasal endoscopic marsupialization as a treatment modality in patients with postoperative maxillary mucoceles and to compare the efficacy of marsupialization via middle meatal antrostomy with that of marsupialization via inferior meatal antrostomy. The study design was a retrospective clinical series and the setting was a tertiary referral center. After obtaining approval from the local ethics committee, we reviewed the medical records of 39 consecutive patients with postoperative maxillary mucoceles who were diagnosed and treated at the Department of Otolaryngology, Chang Gung Memorial Hospital, Taiwan, from 2004 to 2009. Transnasal endoscopic marsupialization was performed on 32 patients (34 sides) with postoperative maxillary mucoceles. All patients were followed for more than 12 months after surgery, and recurrence was noted in five patients (14.9%). Recurrence was experienced by five patients who underwent inferior meatal antrostomy and zero patients who underwent middle meatal antrostomy; thus, a statistically significant difference (p = 0.04) was observed. Transnasal endoscopic marsupialization is an effective modality for postoperative maxillary mucoceles and results in reduced morbidity. The use of middle meatal antrostomy in particular is preferred.

Keywords

Postoperative maxillary mucocele Transnasal endoscopic surgery Caldwell–Luc operation Middle meatal antrostomy Inferior meatal antrostomy 

Notes

Conflict of interest

None.

References

  1. 1.
    Kubo I (1927) A buccal cyst occurring after a radical operation of the maxillary sinus. Z Otol Tokyo 33:896–897Google Scholar
  2. 2.
    Kaneshiro S, Nakajima T, Yoshikawa Y et al (1981) The postoperative maxillary cyst: report of 71 cases. J Oral Surg 39:191–198PubMedGoogle Scholar
  3. 3.
    Yoshikawa Y, Nakajima T, Kaneshiro S et al (1982) Effective treatment of the postoperative maxillary cyst by marsupialization. J Oral Maxillofac Surg 40:487–491PubMedCrossRefGoogle Scholar
  4. 4.
    Murray JP (1983) Complications after treatment of chronic maxillary sinus disease with Caldwell–Luc procedure. Laryngoscope 93:282–284PubMedCrossRefGoogle Scholar
  5. 5.
    Weber R, Keerl R, Draf W (2000) Endonasal endoscopic surgery of maxillary sinus mucoceles after Caldwell–Luc operation. Laryngorhinootologie 79:532–535 (abstr)Google Scholar
  6. 6.
    Shakib K, McCarthy E, Walker DM et al (2009) Postoperative maxillary cyst: report of an unusual presentation. Br J Oral Maxillofac Surg 47:419–421PubMedCrossRefGoogle Scholar
  7. 7.
    Saito T, Ikeda T, Kono Y et al (2000) Implications of endoscopic endonasal surgery for the treatment of postoperative maxillary mucoceles. ORL J Otorhinolaryngol Relat Spec 62:43–48PubMedCrossRefGoogle Scholar
  8. 8.
    Basu MK, Rout PG, Rippin JW et al (1988) The post-operative maxillary cyst. Experience with 23 cases. Int J Oral Maxillofac Surg 17:282–284PubMedCrossRefGoogle Scholar
  9. 9.
    Nagoshi Y (1964) Surgical cure and complications in sinusitis. Jibiinkoka 36:977–986 (abstr)Google Scholar
  10. 10.
    Pe MB, Sano K, Kitamura A et al (1990) Computed tomography in the evaluation of postoperative maxillary cysts. J Oral Maxillofac Surg 48:679–684PubMedCrossRefGoogle Scholar
  11. 11.
    Ishihara A, Muraoka H (2000) Imaging studies and surgical approach to postoperative maxillary cysts. Nippon Jibiinkoka Gakkai Kaiho 103:900–904 (abstr)Google Scholar
  12. 12.
    Cable HR, Jeans WD, Cullen RJ et al (1981) Computerized tomography of the Caldwell–Luc cavity. J Laryngol Otol 95:775–783PubMedGoogle Scholar
  13. 13.
    Daley TD, Wysocki GP, Pringle GA (1994) Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surg Oral Med Oral Pathol 77:276–280PubMedCrossRefGoogle Scholar
  14. 14.
    Chung WL, Cox DP, Ochs MW (2006) Odontogenic cysts, tumors, and related jaw lesions. In: Bailey BJ, Johnson JT, Newlands SD (eds) Head and neck surgery—otolaryngology, 4th edn. Lippincott Williams & Wilkins Inc, Philadelphia, pp 1570–1584Google Scholar
  15. 15.
    Har-El G (2001) Endoscopic management of 108 sinus mucoceles. Laryngoscope 111(12):2131–2134PubMedCrossRefGoogle Scholar
  16. 16.
    Caylakli F, Yavuz H, Cagici AC et al (2006) Endoscopic sinus surgery for maxillary sinus mucoceles. Head Face Med 2:29PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Chien-Chia Huang
    • 1
  • Chiang-Wen Chen
    • 1
  • Ta-Jen Lee
    • 1
    • 2
  • Po-Hung Chang
    • 1
  • Yi-Wei Chen
    • 1
  • Ying-Lin Chen
    • 1
  • Chia-Hsiang Fu
    • 1
  • Chia-Chen Wu
    • 1
  • Chi-Che Huang
    • 1
    Email author
  1. 1.Division of Rhinology, Department of OtolaryngologyChang Gung Memorial Hospital and Chang Gung UniversityKweishanTaiwan
  2. 2.Department of OtolaryngologyXiamen Chang Gung HospitalXiamenChina

Personalised recommendations