Chen Chia-Nan, Su Chih-Ying, Lin Hsin-Ching, Hwang Chung-Feng
Department of Otolaryngology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Am J Rhinol Allergy. 2009 Mar-Apr;23(2):232-6. doi: 10.2500/ajra.2009.23.3254.
The incidence of nasolabial cysts is very low. Simple excision through a sublabial approach is the treatment of choice. The aim of this study was to evaluate the microdebrider as a tool in transnasal endoscopic marsupialization for nasolabial cysts and compare it with conventional instruments and a sublabial approach for cyst removal.
Retrospective chart review of 30 patients (31 cysts) with a mean age of 46.9 years received surgical treatments for nasolabial cysts. We performed three types of surgical procedures including the sublabial approach (10 cysts), conventional transnasal marsupialization (13 cysts), and microdebrider-assisted marsupialization (8 cysts).
Patients that received surgery with the sublabial approach experienced significant increases in operation time, blood loss, and hospitalized time compared with those treated with transnasal marsupialization. However, the number of postoperative stoma stenoses was higher for conventional transnasal marsupialization (two cases). No recurrences or other postoperative complications were found during the follow-up.
The transnasal marsupialization of nasolabial cysts has remarkable benefits compared with sublabial cyst excision during operation. Microdebriders can be used safely and effectively in endoscopic marsupialization without stoma stenosis.
鼻唇囊肿的发病率很低。经唇下途径单纯切除是首选治疗方法。本研究的目的是评估微型切割器作为鼻唇囊肿经鼻内镜袋形缝合术的一种工具，并将其与传统器械及唇下途径囊肿切除术进行比较。
回顾性分析30例（31个囊肿）平均年龄46.9岁接受鼻唇囊肿手术治疗患者的病历。我们实施了三种手术方式，包括唇下途径（10个囊肿）、传统经鼻袋形缝合术（13个囊肿）和微型切割器辅助袋形缝合术（8个囊肿）。
与经鼻袋形缝合术治疗的患者相比，唇下途径手术患者的手术时间、失血量和住院时间显著增加。然而，传统经鼻袋形缝合术的术后造口狭窄例数较多（2例）。随访期间未发现复发或其他术后并发症。
与唇下囊肿切除术相比，鼻唇囊肿经鼻袋形缝合术在手术过程中有显著优势。微型切割器可安全有效地用于内镜袋形缝合术，且无造口狭窄。
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