Document Detail


Management of nasolabial cysts by transnasal endoscopic marsupialization.
MedLine Citation:
PMID:  19770428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Wei-Chieh Chao; Chi-Che Huang; Po-Hong Chang; Ying-Lin Chen; Chiang-Wen Chen; Ta-Jen Lee
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Archives of otolaryngology--head & neck surgery     Volume:  135     ISSN:  1538-361X     ISO Abbreviation:  Arch. Otolaryngol. Head Neck Surg.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-22     Completed Date:  2009-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8603209     Medline TA:  Arch Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  932-5     Citation Subset:  AIM; IM    
Affiliation:
Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital, Chang Gung University, Kuei Shan, Taoyuan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Surgical Procedures
Cohort Studies
Cysts / diagnosis,  surgery*
Endoscopy / methods*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nasal Cavity / surgery
Nose Diseases / diagnosis,  surgery*
Otorhinolaryngologic Surgical Procedures / methods
Patient Satisfaction
Retrospective Studies
Severity of Illness Index
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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