ABSTRACT
OBJECTIVES: Surgical excision via a sublabial approach is considered the standard treatment for nasolabial cysts. Although transnasal marsupialization has been proposed as an alternative method, no prospective study has compared the effectiveness of these techniques. We thus compared the surgical procedure, operating time, postoperative pain, complications, and recurrence rate between the two surgical methods. METHODS: Twenty patients diagnosed with nasolabial cysts were allocated randomly into two groups according to the surgical technique. In the sublabial approach group, the cysts were excised completely using a sublabial approach, while in the transnasal marsupialization group, the cysts were marsupialized transnasally under the guidance of nasal endoscopes. The pure operating time was measured and postoperative pain was evaluated using a visual analog scale. Complications after the procedure were assessed and recurrence was determined according to the clinical symptoms and postoperative radiologic findings. RESULTS: The transnasal marsupialization group had significantly shorter operating times, less postoperative pain, lower complication rates, and shorter duration of side effects than the sublabial approach group. No recurrence occurred in either group after a 1-yr follow-up period. CONCLUSION: Although both methods are effective for treating nasolabial cysts, the transnasal marsupialization of nasolabial cysts has many benefits over the conventional sublabial approach. Therefore, we propose that transnasal marsupialization be the treatment of choice for nasolabial cysts.
Subject(s)
Humans , Endoscopes , Follow-Up Studies , Pain, Postoperative , Prospective Studies , RecurrenceABSTRACT
Radicular cyst is the most common inflammatory odontogenic abnormality which is associated with the crown of unerupted or developing maxillary and/or mandibular teeth. There have been many reported cases where radicular cysts were removed by means of enucleation through Caldwell-Luc's approach. However, there has been only a few reports about marsupialization of radicular cyst. In patients, who are old, aged and immunocompromised are intolerable to complete enucleation and are prone to pathologic fractures and postoperative complications, marsupialization is the only alternative method. For the first time in Korea, we encountered a 64-year old immunocompromised female patient with a large infected radicular cyst which was managed by marsupialization with wide inferior meatal antrostomy under transnasal endoscope and obtained successful results.