Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Kweishan, Taoyuan, Taiwan.
Eur Arch Otorhinolaryngol. 2011 Nov;268(11):1583-7. doi: 10.1007/s00405-011-1636-5. Epub 2011 May 24.
The aim of this study was to evaluate the efficacy of transnasal endoscopic marsupialization as a treatment modality in patients with postoperative maxillary mucoceles and to compare the efficacy of marsupialization via middle meatal antrostomy with that of marsupialization via inferior meatal antrostomy. The study design was a retrospective clinical series and the setting was a tertiary referral center. After obtaining approval from the local ethics committee, we reviewed the medical records of 39 consecutive patients with postoperative maxillary mucoceles who were diagnosed and treated at the Department of Otolaryngology, Chang Gung Memorial Hospital, Taiwan, from 2004 to 2009. Transnasal endoscopic marsupialization was performed on 32 patients (34 sides) with postoperative maxillary mucoceles. All patients were followed for more than 12 months after surgery, and recurrence was noted in five patients (14.9%). Recurrence was experienced by five patients who underwent inferior meatal antrostomy and zero patients who underwent middle meatal antrostomy; thus, a statistically significant difference (p = 0.04) was observed. Transnasal endoscopic marsupialization is an effective modality for postoperative maxillary mucoceles and results in reduced morbidity. The use of middle meatal antrostomy in particular is preferred.
本研究旨在评估经鼻内镜鼻窦造袋术治疗上颌窦术后黏液囊肿的疗效，并比较经中鼻道造袋术与经下鼻道造袋术的疗效。研究设计为回顾性临床系列，研究地点为三级转诊中心。在获得当地伦理委员会的批准后，我们回顾了台湾长庚纪念医院耳鼻喉科 2004 年至 2009 年间诊断和治疗的 39 例术后上颌窦黏液囊肿患者的病历。对 32 例（34 侧）术后上颌窦黏液囊肿患者进行了经鼻内镜鼻窦造袋术。所有患者术后随访超过 12 个月，5 例（14.9%）患者复发。行下鼻道造口术的 5 例患者复发，而行中鼻道造口术的 0 例患者复发，差异有统计学意义（p=0.04）。经鼻内镜鼻窦造袋术是治疗上颌窦术后黏液囊肿的有效方法，可降低发病率。特别推荐使用中鼻道造口术。
