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

  • Rhinology
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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.

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Authors and Affiliations

  1. Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, No 5, Fu-Shin Street, Kweishan, Taoyuan, 333, Taiwan

    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 Huang

  2. Department of Otolaryngology, Xiamen Chang Gung Hospital, Xiamen, China

    Ta-Jen Lee

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  1. Chien-Chia Huang
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  2. Chiang-Wen Chen
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  3. Ta-Jen Lee
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  4. Po-Hung Chang
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  5. Yi-Wei Chen
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  6. Ying-Lin Chen
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  7. Chia-Hsiang Fu
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  8. Chia-Chen Wu
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  9. Chi-Che Huang
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Corresponding author

Correspondence to Chi-Che Huang.

Additional information

C.-C. Huang and C.-W. Chen contributed equally to the study.

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Huang, CC., Chen, CW., Lee, TJ. et al. Transnasal endoscopic marsupialization of postoperative maxillary mucoceles: middle meatal antrostomy versus inferior meatal antrostomy. Eur Arch Otorhinolaryngol 268, 1583–1587 (2011). https://doi.org/10.1007/s00405-011-1636-5

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  • DOI: https://doi.org/10.1007/s00405-011-1636-5

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