Nazar Rodolfo, Naser Alfredo, Pardo Javiera, Fulla Juan, Rodríguez-Jorge Jesús, Delano Paul H
Servicio de Otorrinolaringología, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Acta Otorrinolaringol Esp. 2011 Sep-Oct;62(5):363-6. doi: 10.1016/j.otorri.2011.04.004. Epub 2011 Jun 17.
The purpose of this study was to determine changes in the surgical treatment of patients with the diagnosis of paranasal mucoceles managed in a Latin American hospital. We hypothesised that endonasal endoscopic surgeries had emerged as the main treatment option for this disease in the last five years.
A retrospective chart review of all patients who were diagnosed with paranasal sinus mucoceles and treated at the Otorhinolaryngology Head and Neck Department of our hospital from 2002 to 2010 was performed. Patient demographic data, mucoceles location, symptoms, surgical approach and complications were recorded.
A total of 46 patients were included (27 males; 19 females). This series include 29 patients (63%) with frontal or frontoethmoidal mucoceles, 14 (30.4%) with maxillary and 3 (6.5%) with sphenoid mucoceles. Ninety-five percent of the patients were treated with intranasal endoscopic surgery. Complications occurred only in 7 cases (15.2%).
This study confirms that over the last 9 years significant changes have occurred in the surgical treatment of paranasal mucocele in our hospital, as endoscopic surgeries increased from 34% to over 90% as the first option of treatment for mucoceles.
本研究旨在确定拉丁美洲一家医院中诊断为鼻旁窦黏液囊肿患者的手术治疗变化情况。我们假设在过去五年中，鼻内镜手术已成为该疾病的主要治疗选择。
对2002年至2010年在我院耳鼻咽喉头颈外科诊断为鼻旁窦黏液囊肿并接受治疗的所有患者进行回顾性病历审查。记录患者的人口统计学数据、黏液囊肿位置、症状、手术方式和并发症。
共纳入46例患者（男性27例；女性19例）。该系列包括29例（63%）额窦或额筛窦黏液囊肿患者、14例（30.4%）上颌窦黏液囊肿患者和3例（6.5%）蝶窦黏液囊肿患者。95%的患者接受了鼻内镜手术。仅7例（15.2%）发生并发症。
本研究证实，在过去9年中，我院鼻旁窦黏液囊肿的手术治疗发生了显著变化，内镜手术作为黏液囊肿的首选治疗方法从34%增加到90%以上。
