Endoscopic Endonasal Management of Recurrent Maxillary Mucoceles Using Biliary T-Tube Stenting
Autor: | Shin Ito, Hirotomo Homma, Hiroko Okada, Junko Murata, Katsuhisa Ikeda, Noritsugu Ono |
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Rok vydání: | 2017 |
Předmět: |
Male
Biliary t-tube medicine.medical_specialty Maxillary sinus medicine.medical_treatment Mucocele 03 medical and health sciences 0302 clinical medicine Recurrence Paranasal Sinus Diseases Humans Medicine In patient 030223 otorhinolaryngology Sinus (anatomy) Aged Frontal sinus business.industry Stent Endoscopy Maxillary Sinus Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Female Stents business Window opening |
Zdroj: | Ear, Nose & Throat Journal. 96:469-476 |
ISSN: | 1942-7522 0145-5613 |
Popis: | Mucoceles of the paranasal sinus can be managed endoscopically with an extremely low recurrence rate. Frontal sinus mucoceles can sometimes be prevented from closing and reforming by stenting, which to the best of our knowledge has not yet been reported in the maxillary sinus. We describe the cases of 5 patients—3 men and 2 women, aged 47 to 75 years (mean; 59.6)—with a recurrent and intractable maxillary sinus mucocele that was managed with biliary T-tube stenting. The indications for stenting included recurrent episodes of mucocele with or without a lateral location with a relatively thick bony wall. A latex rubber pediatric biliary T-tube was endoscopically inserted through a window opening into the marsupialized mucocele. The stent was removed 6 to 14 months postoperatively in 4 cases; in the other case, the stent remained adequately positioned for 35 months. None of the patients experienced signs or symptoms of recurrence. We conclude that a T-tube stent can be used successfully to maintain long-term patency in patients with a recurrent and intractable maxillary mucocele, with patency being maintained even after removal of the stent. |
Databáze: | OpenAIRE |
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