Endoscopic Endonasal Surgery for Postoperative Maxillary Cyst.

Iizuka, Yuuji; Fukami, Masaya; Yanagi, Kiyoshi; Asai, Kazuyasu; Ohtori, Nobuyoshi; Moriyama, Hiroshi

doi:10.5631/jibirin.89.587

Cited by 4 publications

(3 citation statements)

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“…8 Post-operative maxillary cyst is diagnosed based on clinical symptoms, previous maxillary surgery, radiography and histology. In recent Japanese reports, the use of complete mucocele lining excision (the canine fossa approach) has decreased, and FESS has become the widely accepted treatment for post-operative maxillary cyst due to the development of new instruments or power tools 8,[12][13][14][15][16][17][18] (Table II). 10,11 Post-operative maxillary cyst occurs 10-30 years following maxillary surgery, especially following the Caldwell-Luc procedure to treat chronic maxillary sinusitis.…”

Section: Discussionmentioning

confidence: 99%

“…The Caldwell-Luc procedure had been widely used to treat chronic sinusitis, before FESS with the middle meatal approach, which is now the ESS = endoscopic sinus surgery; External approach = canine fossa approach standard procedure, was developed. 12,16,17 Inserting a Tshaped ventilation stent between the cyst and the nasal cavity proved to be an effective option for avoiding this complication. Therefore the prevalence of postoperative maxillary cyst in Japan should decrease in the near future.…”

Section: Discussionmentioning

confidence: 99%

“…The FESS procedure offers additional benefits, including decreased haemorrhage and complications 19 . The primary post-operative complication following FESS to treat post-operative maxillary cyst was meatal antrostomy stenosis 12 , 16 , 17 . Inserting a T-shaped ventilation stent between the cyst and the nasal cavity proved to be an effective option for avoiding this complication.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Transnasal endoscopic surgery of post-operative maxillary cysts

Sawatsubashi

Murakami

Oda³

et al. 2015

J. Laryngol. Otol.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Transnasal endoscopic surgery of post-operative maxillary cysts

Sawatsubashi

Murakami

Oda³

et al. 2015

J. Laryngol. Otol.

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Two-channel endoscopic sinus surgery for postoperative maxillary cyst

Shigematsu

Oku

Kawamoto

et al. 2014

Journal of Oral and Maxillofacial Surgery, Medicine, and Pathol

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Clinical Features of Patients with Paranasal Sinus Cysts

Tsuzuki

Fukazawa²,

Takebayashi³

et al. 2009

Nippon Jibiinkoka Gakkai Kaiho

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This study retrospectively analyzed the clinical features of patients with paranasal sinus cysts. Between April 1995 and March 2008 at Hyogo College of Medicine, we performed sinus surgery on 218 patients with paranasal sinus cysts. There were 125 men and 93 women with the mean age of 57.5 years (17-85 years old). Diagnosis was based on the preoperative endonasal and radiological findings as well as surgical findings. The patients were followed for 6 months or more after surgery. Of 218 patients, postoperative cysts were observed in 173 patients (79.4%), and idiopathic cysts were found in 45 patients (20.6%). In postoperative cysts, the maxillary sinus was the most common lesion (124/173 patients, 71.7%). Most patients (53.8%) presented with cheek swelling and pain. The mean interval between the first and most recent surgery was 31.2 years (4-55 years). Among idiopathic cysts, anterior ethmoid sinus (19/45 patients, 42.2%) and frontal sinus (15/45 patients, 33.3%) were common lesion sites. More than a half of them (53.3%) presented with ophthalmologic symptoms. For treatment, endoscopic sinus surgery (ESS) was performed on 206 patients. The navigation system for ESS was utilized in 6 patients (2.8%). External approaches were required in 23 patients (10.6%). The Caldwell-Luc procedure for maxillary sinus cysts and Killian's procedure for frontal sinus cysts were performed on 18 and 5 patients, respectively. Dacryocystorhinostomy (DCR) with the endonasal approach was additionally performed on 4 patients with epiphora due to postoperative maxillary sinus cysts. Recurrence of cysts was observed in 5 patients (2.3%) at the mean interval of 25 months after surgery, comprising three patients with maxillary sinus cysts, one patient with a frontal sinus cyst, and one patient with a sphenoid sinus cyst. In conclusion, most paranasal sinus cysts (approximately 80%) occurred postoperatively. Symptoms were predominantly ophthalmologic. Selecting an endoscopic and/or an external approach is critical, considering minimally invasive surgery and risk of recurrence.

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Endoscopic Endonasal Surgery for Postoperative Maxillary Cyst.

Cited by 4 publications

References 0 publications

Transnasal endoscopic surgery of post-operative maxillary cysts

Transnasal endoscopic surgery of post-operative maxillary cysts

Two-channel endoscopic sinus surgery for postoperative maxillary cyst

Clinical Features of Patients with Paranasal Sinus Cysts

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