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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2019; 23(01): 088-091
DOI: 10.1055/s-0038-1668126
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Mucocele: Clinical Characteristics and Outcomes in 46 Operated Patients

Diogo Barreto Plantier
1   Department of Otolaryngology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil
,
Deusdedit Brandão Neto
1   Department of Otolaryngology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil
,
Fabio de Rezende Pinna
1   Department of Otolaryngology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil
,
Richard Louis Voegels
1   Department of Otolaryngology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil
› Author Affiliations
Further Information

Publication History

24 January 2018

26 May 2018

Publication Date:
24 October 2018 (online)

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Abstract

Introduction Paranasal sinus mucocele is a benign, expansive lesion associated with paranasal sinus obstruction. It affects mostly adults, and is most common in the frontal and ethmoidal sinuses.

Objective To evaluate outcomes in patients undergoing surgical treatment for paranasal sinus mucocele.

Methods Retrospective review of medical records of patients treated for paranasal sinus mucocele at the ENT department of a tertiary care hospital between 2005 and 2016.

Results Forty-six patients underwent surgical treatment of paranasal sinus mucocele. The mean age was 50.1 years, and 56.5% were male. The most prevalent symptom was pain, and the frontal sinus was most commonly affected. The vast majority of patients (89.1%) underwent endoscopic sinus marsupialization; 10.9% required combined open and endoscopic access. Seven recurrences occurred.

Conclusion Sinus mucocele is an expansive disease that primarily affects the frontal sinus of adult patients. In most cases, endoscopic surgery is an effective treatment modality.

Keywords

mucocele - paranasal sinus diseases - chronic rhinosinusitis - endoscopic sinus surgery - marsupialization
 

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