Nasopharyngeal Cysts

Marom, Tal; Russo, Emanuele; Salem, Douraı̈ed Ben; Roth, Yehudah

doi:10.1016/j.ijporl.2009.01.004

Cited by 28 publications

(52 citation statements)

References 60 publications

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“…They may also be acquired following adenoidectomy, nasopharyngitis and chemoradiation for nasopharyngeal carcinoma in adults. 1 These cysts are deep to the pharyngobasilar fascia. 6 The most common lateral nasopharyngeal cysts are branchiogenic cysts; mucus retention cysts can also arise from lateral aspect, but rarely.…”

Section: Resultsmentioning

confidence: 99%

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Transnasal Endoscopic Surgery by Powered Instrumentation in the Treatment of Symptomatic Nasopharyngeal Cysts- Our Experience

Ananth¹,

Hosamani²,

Venkataramani³

2018

jebmh

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BACKGROUND Nasopharyngeal cysts are rare lesions. Usually asymptomatic, they are found during routine nasal endoscopies and imaging studies. Symptomatic cysts are relatively uncommon, very few cases have been reported in literature and require treatment in the form of surgery. We present our experience in transnasal, endoscopic-guided surgical treatment of nasopharyngeal cysts with the aid of powered instruments along with symptomatology of the nasopharyngeal cysts and the efficacy and outcomes of the procedure. MATERIALS AND METHODSWe retrospectively reviewed twelve patients from January 2013 to June 2017 with symptomatic nasopharyngeal cysts treated at a tertiary referral centre. The symptoms and signs were assessed, and all the patients underwent Nasal Endoscopy, MRI, or a CT scan. All the patients underwent transnasal endoscopic powered instrument assisted marsupialisation of the cyst. The patients were followed up for a minimum of six months. RESULTSAll the patients were symptom-free on follow up of 6 -36 months with no major complications. There were no recurrences noticed in the follow up period. Histopathological examination showed features of Tornwaldt's cysts in four cases, mucus retention cysts in six cases and intra-adenoid cysts in two. CONCLUSIONWhile nasopharyngeal cysts are often detected incidentally on imaging studies, symptomatic cysts are uncommon and need definitive treatment. Marsupialisation of the cyst by powered instruments is precise and effective without any major complications. KEYWORDSNasopharynx, Endoscopy, Nasopharyngeal Diseases, Cyst, Nasal Surgery, MRI Scans. HOW TO CITE THIS ARTICLE:

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Section: Resultsmentioning

confidence: 99%

“…1 Asymptomatic cysts are not uncommon, but symptomatic cysts are relatively uncommon. Only a few studies in literature have reported about nasopharyngeal cysts which are symptomatic.…”

Section: How To Cite This Articlementioning

confidence: 99%

Transnasal Endoscopic Surgery by Powered Instrumentation in the Treatment of Symptomatic Nasopharyngeal Cysts- Our Experience

Ananth¹,

Hosamani²,

Venkataramani³

2018

jebmh

View full text Add to dashboard Cite

show abstract

“…They are mostly asymptomatic and infrequently found during routine endoscopies and imaging studies. Rarely they maybe the source for unexplained sinonasal symptoms, such as CSF rhinorrhea, visual disturbances and nasal obstruction [7].…”

Section: Discussionmentioning

confidence: 99%

Hypoplasia of the maxillary, sphenoid and frontal sinus in the patient with nasopharyngeal branchial cyst: Case Repor

Ghazizade¹,

Asadi²,

Darbani³

2016

J Res Med Den Sci

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Cystic lesions of the nasopharynx are typically benign and often found incidentally. The authors report a case of nasopharyngeal branchial cyst in a patient with hypoplastic maxillary, sphenoid and frontal sinuses. The patient underwent transnasal endoscopic resection of the cyst.Results showed that in the management of nasopharyngeal branchial cyst it is important to clarify the anatomic details of the paranasal sinuses with Computed tomography (CT) scan respect to correct diagnosis and appropriate surgical planning. Nasopharyngeal branchial cysts and paranasal sinus hypoplasia may have the same developmental cause.

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“…Large or superinfected cysts can present with symptoms such as nasal obstruction, post nasal drainage, halitosis, aural fullness, and diminished hearing secondary to eustachian tube obstruction [1,2]. Nasopharyngeal cysts may be divided into two types: congenital and acquired cysts.…”

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confidence: 99%

“…Symptomatic cysts can be diagnosed by endoscopic nasopharynx examination and radiological examinations, such as computed tomography (CT) scans and MRI. MR imaging is superior to CT scans for detecting nasopharyngeal cysts, because it provides excellent details of soft tissues and distinguishes the contents of cysts [2]. Small, asymptomatic cysts do not require surgical intervention.…”

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confidence: 99%

Unilateral Nasal Obstruction Caused by a Large Nasopharyngeal Cyst

Ata¹

2018

Eurasian J Med

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A 40-year-old man presented with left-side nasal obstruction for the past nine months. He had been treated for allergic rhinitis with nasal steroids for a long time. An anterior rhinoscopic examination was normal. Endoscopic examination revealed a nodulary mass in the nasopharynx, partially obstructing the left choana ( Figure 1A). An endoscopic examination of the right nasopharynx revealed regular mucosal thickening of the right lateral and posterior walls of the nasopharynx. There were no otological symptoms. Magnetic resonance (MRI) of the nasopharynx revealed a left nasopharyngeal cyst measuring 18×15 mm ( Figure 1B). The patient selected to undergo endoscopic marsupialization of the nasopharyngeal cyst. First, punch biopsies were performed from the mass and bilateral hypertrophic nasopharyngeal tissue for histopathological evaluation; the mass was found to be a lateral nasopharyngeal cyst containing seromucinous fluid. Then, the cystic mass was marsupialized using a microdebrider via a transnasal endoscopic approach ( Figure 1C). Histopathological examination of the thickening nasopharyngeal mucosa revealed reactive lymphoid hyperplasia and identified the cystic specimen as a branchial cyst. The patient's postoperative period was uneventful. He was free of all symptoms nine months after the surgery, and an endoscopic examination did not detect any signs of recurrence.

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Nasopharyngeal Cysts

Cited by 28 publications

References 60 publications

Transnasal Endoscopic Surgery by Powered Instrumentation in the Treatment of Symptomatic Nasopharyngeal Cysts- Our Experience

Transnasal Endoscopic Surgery by Powered Instrumentation in the Treatment of Symptomatic Nasopharyngeal Cysts- Our Experience

Hypoplasia of the maxillary, sphenoid and frontal sinus in the patient with nasopharyngeal branchial cyst: Case Repor

Unilateral Nasal Obstruction Caused by a Large Nasopharyngeal Cyst

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