Management of nasolabial cysts by transnasal endoscopic marsupialization.

Full Abstract

OBJECTIVE: To evaluate hospitalization rates and duration of surgery associated with transnasal endoscopic marsupialization compared with sublabial excision in treating nasolabial cysts. DESIGN: Retrospective clinical series. SETTING: Large urban community hospital. PATIENTS: Consecutive sample of 57 patients with nasolabial cysts treated from January 1, 2000, to February 29, 2008. INTERVENTIONS: Sublabial excision in 23 patients (sublabial group) and transnasal endoscopic marsupialization in 34 patients (transnasal group). Among 57 patients, 47 underwent preoperative computed tomography. MAIN OUTCOME MEASURES: History, clinical presentation, preoperative condition, histopathologic findings, treatment, complications, and outcomes. RESULTS: The mean duration of surgery was 91.3 minutes in the sublabial group and 29.5 minutes in the transnasal group (P = .003). The hospitalization rate was 100% (23 of 23) in the sublabial group and 59% (20 of 34) in the transnasal group (P < .001). The medical costs were significantly lower in the transnasal group than in the sublabial group (P = .002). The follow-up period ranged from 6 to 85 months. Neither group of patients experienced any major complications or recurrences during the follow-up period. CONCLUSION: Transnasal endoscopic marsupialization is an effective treatment for nasolabial cysts, is less costly, and has fewer complications than sublabial excision.

Author information

Author/s: Chao, Wei-Chieh (WC); Huang, Chi-Che (CC); Chang, Po-Hong (PH); Chen, Ying-Lin (YL); Chen, Chiang-Wen (CW); Lee, Ta-Jen (TJ);

Affiliation: Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital, Chang Gung University, Kuei Shan, Taoyuan, Taiwan.

Journal and publication information

Publication Type: Comparative Study; Journal Article

Journal: Archives of otolaryngology--head & neck surgery (Arch Otolaryngol Head Neck Surg), published in United States. (Language: eng)

Reference: 2009-Sep; vol 135 (issue 9) : pp 932-5

Dates: Created 2009/09/22; Completed 2009/10/08;

PMID: 19770428, status: MEDLINE (last retrieved date: 10/8/2009)

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