Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

부비동 점액낭종의 임상양상

김동영1,*, 권병우1, 박동은1
Dong-Young Kim1,*, Byung-Woo Kwon1, Dong-Eun Park1
1동아대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Dong-A University, Busan, Korea
*교신저자: 김동영, 602-715 부산광역시 서구 동대신동 3가 1 동아대학교 의과대학 이비인후과학교실 전화: (051) 240-5428·전송: (051) 253-0712 E-mail: kimdy@daunet.donga.ac.kr

© Copyright 2004 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Apr 10, 2004; Accepted: May 27, 2004

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: A mucocele is an epithelial-lined, mucus-containing sac completely filling a paranasal sinus and capable of expansion by virtue of dynamic process of bone resorption and new bone formation. It is thought to be secondary to obstruction of the main ostium of the sinus. This obstruction may be the result of inflammation, trauma, osteoma, fibrous dysplasia, or repeated surgery in and around the nasal cavity. Mucocele can occur in any sinuses, but the frontoethmoidal region is most commonly affected. We aimed to evaluate clinical features and treatment results of paranasal sinus mucoceles in Dona-A University Hospital. Patients and Method: We analyzed 46 cases of paranasal sinus mucocele, including postoperative cheek cyst (POCC), which had been operated in Dong-A University Hospital between November 1990 and November 2002. Results: Ethmoid sinus mucocele was most common except POCC. Frontal and ethmoid mucoceles mainly showed ophthalmic symptoms such as exophthalmus, orbital pain, and diplopia, whereas maxillary mucocele mainly showed cheek swelling and nasal obstruction. Endoscopic marsupialization was performed in 20 out of 22 cases except POCC. In most POCCs except 4 cases, endoscopic and Caldwell-Luc approaches were combined. Only 1 out of 46 cases recurred. Conclusion: Ethmoid sinus mucocele was most common except POCC, and mainly showed ophthalmic symptoms. Endoscopic marsupialization was performed in 20 out of 22 cases except POCC, and only 1 case recurred. (J Clinical Otolaryngol 2004;15:93–97)

Keywords: 부비동; 점액낭종; 내시경적 조대술
Keywords: Paranasal sinuses; Mucocele; Endoscopy