Hostname: page-component-8448b6f56d-c47g7 Total loading time: 0 Render date: 2024-04-18T04:36:33.675Z Has data issue: false hasContentIssue false
  • English
  • Français

Transnasal endoscopic surgery of post-operative maxillary cysts

Published online by Cambridge University Press:  23 February 2015

M Sawatsubashi ,
D Murakami ,
M Oda  and
S Komune
M Sawatsubashi*
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
D Murakami
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
M Oda
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, ENT Surgery Centre, Yuai-kai Oda Hospital, Kashima, Saga, Japan
S Komune
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
*
Address for correspondence: Motohiro Sawatsubashi, Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka 812-8582, Japan Fax: +81 92 642 5685, E-mail: motohiro@qent.med.kyushu-u.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

The present study investigates the indications for transnasal endoscopic surgery in treating post-operative maxillary cysts.

Methods:

In this retrospective study, the records of 118 patients with post-operative maxillary cysts (88 unilateral and 30 bilateral) consisting of 148 procedures were reviewed.

Results:

A transnasal endoscopic approach was performed in 144 lesions (97.3 per cent). A combined endonasal endoscopic and canine fossa (external) approach was performed in 4 of 148 lesions, because the cysts were located distant from the nasal cavity and had a thick bony wall. A ventilation stent was placed in four patients (four cysts) to avoid post-operative meatal antrostomy stenosis. Recurrence was observed in five patients (4.2 per cent), all of whom subsequently underwent transnasal endoscopic revision surgery.

Conclusion:

Transnasal endoscopic surgery is an effective treatment for post-operative maxillary cyst with the exception of cysts located distant from the nasal cavity.

Keywords

mucoceleMaxillary SinusEndoscopic Surgical ProcedureNascal cavity
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue S2 , March 2015 , pp. S46 - S51
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

This study was partially presented at the 114th Annual Meeting of the ORL Society of Japan, Sapporo, Japan, 16 May 2013.

References

1Gardner, DG, Gullane, PJ. Mucocele of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1986;62:538–43Google Scholar
2Sugar, AW, Walker, DM, Bounds, GA. Surgical ciliated (postoperative maxillary) cysts following mid-face osteotomies. Br J Oral Maxillofac Surg 1990;28:264–7CrossRefGoogle ScholarPubMed
3Tamura, H, Higaki, A. Recurrence of the so-called postoperative Kubo maxillary cyst [in German]. Virchows Arch 1958;331:518–21CrossRefGoogle ScholarPubMed
4Kaneshiro, S, Nakajima, T, Yoshikawa, Y, Iwasaki, H, Tokiwa, N. The postoperative maxillary cyst: report of 71 cases. J Oral Surg 1981;39:191–8Google Scholar
5Nishioka, M, Pittella, F, Hamagaki, M, Okada, N, Takagi, M. Prevalence of postoperative maxillary cyst significantly higher in Japan. Oral Med Pathol 2005;10:9–13CrossRefGoogle Scholar
6Ikeda, K, Takahashi, C, Oshima, T, Suzuki, H, Satake, M, Hidaka, H et al. Endonasal endoscopic marsupialization of paranasal sinus mucoceles. Am J Rhinol 2000;14:107–11Google Scholar
7Kubo, I. The cheek swelling after the Caldwell–Luc procedure [in Japanese]. Journal of Otolaryngology of Japan 1927;33:896–7Google Scholar
8Tsuzuki, K, Fukazawa, K, Takebayashi, H, Oka, H, Sakagami, M. Clinical features of patients with paranasal sinus cysts [in Japanese with English abstract]. Journal of Otolaryngology of Japan 2009;112:801–8Google ScholarPubMed
9Huang, CC, Chen, CW, Lee, TJ, Chang, PH, Chen, YW, Chen, YL et al. Transnasal endoscopic marsupialization of postoperative maxillary mucoceles: middle meatal antrostomy versus inferior meatal antrostomy. Eur Arch Otorhinolaryngol 2011;268:1583–7CrossRefGoogle ScholarPubMed
10Chindasombatjaroen, J, Uchiyama, Y, Kakimoto, N, Murakami, S, Furukawa, S, Kishino, M. Postoperative maxillary cysts: magnetic resonance imaging compared with computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e38–44Google Scholar
11Ishihara, A, Muraoka, . Imaging studies and surgical approach to postoperative maxillary cysts [in Japanese with English abstract]. Journal of Otolarynzology of Japan 2000;103:900–4Google Scholar
12Utagawa, T, Ynanagi, K, Ishii, A, Imai, T. Indication and limit of endoscopic sinus surgery for postoperative maxillary multilocular cysts [in Japanese with English abstract]. Oto-Rhino-Laryngology, Tokyo 2005;48:160–6Google Scholar
13Yoshizaki, T, Watanabe, A. Endoscopic endonasal sinus surgery for post-operative maxillary cyst [in Japanese with English abstract]. Journal of Otolaryngology of Japan 2002;105:931–6Google Scholar
14Higuchi, Y, Nakamura, H, Kondo, H, Takahashi, S, Kawasaki, M. Clinical study of post-operative maxillary cysts [in Japanese with English abstract]. Japanese Journal of Rhinology 2000;39:345–51Google Scholar
15Hayashi, T, Matsune, S, Kurono, Y. Endoscopic sinus surgery for a post-operative maxillary cyst [in Japanese with English abstract]. Otologia Fukuoka 1999;45:369–74Google Scholar
16Inamura, K, Kawai, M, Aoyagi, M. Endonasal surgery for postoperative maxillary cyst [in Japanese with English abstract]. Practica Oto-Rhino-Laryngologica (Kyoto) 1997;90:431–36Google Scholar
17IIzuka, Y, Fukami, M, Yanagi, K, Asai, K, Ohtori, N, Moriyama, H. Endoscopic endonasal surgery for postoperative maxillary cyst [in Japanese with English abstract]. Practica Oto-Rhino-Laryngologica (Kyoto) 1996;89:587–92Google Scholar
18Murata, H, Tomoda, K, Kitani, M, Yamashita, K. Endoscopic postoperative maxillary cyst surgery using navigation system [in Japanese with English abstract]. Japanese Journal of Rhinology 1999;38:203–5Google Scholar
19Ikeda, K, Hirano, K, Oshima, T, Shimomura, A, Suzuki, H, Sunose, H et al. Comparison of complications between endoscopic sinus surgery and Caldwell-Luc operation. Tohoku J Exp Med 1996;180:27–31Google Scholar