ABSTRACT
Los quistes nasolabiales son lesiones quísticas poco frecuentes, que se presentan como ocupación de la fosa canina, el ala nasal o el vestíbulo nasal. Usualmente son asintomáticas, pero pueden infectarse. El diagnóstico se realiza con el examen físico y exámenes imagenológicos, como la tomografía computarizada y/o resonancia magnética. El tratamiento consiste en la extirpación quirúrgica completa por abordaje sublabial, o por marsupialización endoscópica transnasal. Se describen dos casos, uno de ellos es una paciente de sexo femenino que presenta deformidad nasal producto del crecimiento progresivo de un quiste nasolabial unilateral, y otro de un paciente de sexo masculino que presenta una celulitis facial severa, con una tomografía computarizada que muestra quistes nasolabiales bilaterales. Los quistes nasolabiales deben ser considerados como parte del diagnóstico diferencial en otorrinolaringología en cuadros de deformidad nasal y aumento de volumen facial.
Nasolabial cysts are a rare developmental cyst, presenting as a fullness of canine fossa, nasal ala or vestibule of the nose. They are usually asymptomatic but may become infected. The diagnostic approach includes physical examination and imaging studies such as computed tomography and/or magnetic resonance imaging. Treatment is complete surgical excision by sublabial approach, or transnasal endoscopic marsupialization. Here we describe two cases, one female presenting as nasal deformity due to progressive growth of unilateral nasolabial cyst, and a healthy young male presenting severe facial cellulitis, with a computed tomography showing bilateral nasolabial cysts. Nasolabial cyst should be incorporated in the differential diagnosis of nose deformities and facial swelling in otorhinolaryngology.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Nose Diseases/surgery , Nose Diseases/diagnostic imaging , Cysts/surgery , Cysts/diagnostic imaging , Tomography, X-Ray Computed , Endoscopy/methods , Nasolabial FoldABSTRACT
A sphenoid sinus mucocele is a rare condition that causes a variety of symptoms by creating pressure on important contiguous neurological and vascular structures. The lesion is difficult to diagnose due to the subtlety of its symptoms, but careful radiological evaluation, with CT and MRI, for example, can help to provide a correct assessment. Transnasal endoscopic surgery can potentially deliver dramatic reduction in the operative morbidity of surgery for paranasal sinus mucoceles by offering an approach that is minimally invasive under local anesthesia. We experienced a 37-year-old male patient with a large sphenoid sinus mucocele protruding into both nasal cavities. The patient was treated with transnasal endoscopic marsupialization.