Abstract：
OBJECTIVE: Sinonasal mucoceles (SM) are benign, expansive neoformations which require surgical marsupialization to prevent severe complications. The present study reports the larger case history ever published: a 28-years expertise in the surgical management of SM.
METHODS: A retrospective study was conducted on patients surgically treated for SM at the Departments of Otorhinolaryngology of Varese and Pavia, between 1994 and 2022.
RESULTS: 398 patients were reported. An endoscopic endonasal marsupialization of SM was performed in 92,5% of cases. 7% of patients underwent a combined approach while 0,5% required an exclusive open surgery. The average follow-up after surgery was 10-60 months. SM overall recurrence was observed in 11,4% of cases.
CONCLUSIONS: Endonasal endoscopic SM marsupialization is a feasible technique which allows the preservation of the anatomy and physiology avoiding the surgical invasiveness of the external approaches. The well-established surgical expertise in the endonasal endoscopy together with technological improvements widened the indication range of the exclusive endoscopic technique over the traditional open surgery.
METHODS: A retrospective study was conducted on patients surgically treated for SM at the Departments of Otorhinolaryngology of Varese and Pavia, between 1994 and 2022.
RESULTS: 398 patients were reported. An endoscopic endonasal marsupialization of SM was performed in 92,5% of cases. 7% of patients underwent a combined approach while 0,5% required an exclusive open surgery. The average follow-up after surgery was 10-60 months. SM overall recurrence was observed in 11,4% of cases.
CONCLUSIONS: Endonasal endoscopic SM marsupialization is a feasible technique which allows the preservation of the anatomy and physiology avoiding the surgical invasiveness of the external approaches. The well-established surgical expertise in the endonasal endoscopy together with technological improvements widened the indication range of the exclusive endoscopic technique over the traditional open surgery.
摘要：
目的：鼻窦黏液囊肿（SM）是良性的，需要外科有袋化以防止严重并发症的扩张性新形成。本研究报告了有史以来发表的较大病例史：在SM的手术管理方面拥有28年的专业知识。
方法：对在Varese和Pavia的耳鼻咽喉科接受SM手术治疗的患者进行了回顾性研究，1994年至2022年。
结果：报告398例患者。在92,5％的病例中进行了SM的内镜鼻内有袋化。7％的患者接受了联合治疗，而0,5％的患者需要进行独家开放手术。术后平均随访10～60个月。在11,4％的病例中观察到SM总体复发。
结论：鼻内镜下SM有袋化是一种可行的技术，可以保留解剖学和生理学，避免了外部方法的手术侵入性。在鼻内窥镜检查中建立完善的外科专业知识以及技术改进，与传统的开放手术相比，扩大了专有内窥镜技术的适应症范围。
方法：对在Varese和Pavia的耳鼻咽喉科接受SM手术治疗的患者进行了回顾性研究，1994年至2022年。
结果：报告398例患者。在92,5％的病例中进行了SM的内镜鼻内有袋化。7％的患者接受了联合治疗，而0,5％的患者需要进行独家开放手术。术后平均随访10～60个月。在11,4％的病例中观察到SM总体复发。
结论：鼻内镜下SM有袋化是一种可行的技术，可以保留解剖学和生理学，避免了外部方法的手术侵入性。在鼻内窥镜检查中建立完善的外科专业知识以及技术改进，与传统的开放手术相比，扩大了专有内窥镜技术的适应症范围。
