Endoscopic Sinus Surgery in Paranasal Sinus Mucoceles / 대한이비인후과학회지

ABSTRACT

BACKGROUND: The term mucocele was introduced by Rollet in 1896 and Onodi gave the first histological description in 1901. A variety of conservative and radical surgical procedures have been introduced and each approach has its proponents and opponents. OBJECTIVES: The purpose of this report is to share the experiences of functional endoscopic sinus surgery for paranasal sinuse mucoceles. MATERIALS AND METHODS: Ten patients diagnosed as having paranasal sinus mucocele underwent endoscopic marsupialization from July 1989 to December 1996. The follow-up period was between 2 months and 69 months with a mean of 37.9 months. RESULTS: Endoscopic surgery was attempted in 4 ethmoid, 4 maxillary, 1 frontoethmoid and 1 frontal sinus mucocele. Five cases had preoperative proptosis, four had nasal stuffiness and three had ophthalmoplegia and visual disturbance, and two had frontal headache. Computed tomography scan revealed that 7 cases had erosion of sinus wall. No disease recurrence has been noted to date with endoscopic follow-up of up to 69 months. CONCLUSION: Functional endoscopic sinus surgery provides good surgical results in the treatment of frontal, ethmoid, and maxillary sinus mucoceles with the advantage of restoration of functional drainage system.