在鼻前庭和上唇之间形成的中面软组织的罕见非牙源性囊肿被称为鼻唇沟囊肿。治疗可以通过手术切除来完成,向囊肿注射硬化物质,和内窥镜有袋化。这项研究的目的是比较阴唇下入路切除术与经鼻内窥镜入路囊化术在鼻唇沟囊肿患者手术时间方面的有效性。复发率,术后疼痛和并发症。我们的研究是基于持续时间的前瞻性观察性研究,从2018年8月至2022年7月,为期四年,研究人群包括30名年龄在20至70岁之间的患者,根据临床表现被诊断为单侧鼻唇沟囊肿。解剖位置,和我们大专院校耳鼻喉科的计算机断层扫描(CT)发现。这项研究使用了随机的,单盲,并行设计,共有30名患者,随机分配给15例患者(15例鼻唇沟囊肿)进行阴唇下入路切除术(A组),15例患者(15例鼻唇沟囊肿)进行经鼻内窥镜入路封袋术(B组)。在阴唇下接近组,平均手术时间为91.28±3.1分钟,而在经鼻袋袋化组中,这是29.7±3.2分钟。这些差异具有统计学意义(P=0.003)。在阴唇下入路切除和经鼻内镜袋状化组中,术后疼痛的视觉模拟评分(VAS)分别为5.9±1.4和3.2±0.6(P=0.001).在随访期间,阴唇下入路组的10例患者和经鼻有袋化组的5例患者出现了一个或多个问题,这些问题在4周内自发消失,而没有长期持续的问题。两组均无复发病变或有袋囊肿开口阻塞,根据物理,内窥镜和计算机断层扫描检查。鼻唇沟囊肿可以经鼻有袋,与更传统的阴唇下切除方法相比,它具有许多优点。经鼻内镜袋状化有缩短手术时间的好处,术后疼痛减少,并发症发生率低。因此,我们建议经鼻内镜袋状化是鼻唇沟囊肿的首选治疗方法,用阴唇法代替传统的切除术。
Rare non-odontogenic cysts of the soft tissue of the midface that form between the nasal vestibule and upper lip are known as nasolabial cysts. Treatment can be accomplished by surgical removal, injection of sclerosing material into the cyst, and endoscopic
marsupialization. The aim of this study is to compare the effectiveness of Excision with sublabial approach versus
Marsupialization with Transnasal Endoscopic approach in patients with Nasolabial cyst in terms of operating time, recurrence rate, postoperative pain and complications. Our study was Duration based prospective observational study with a Duration of four years from August 2018 till July 2022 with study population inclusive of 30 patients aged between 20 and 70 years who were diagnosed with a unilateral nasolabial cyst on the basis of clinical presentation, anatomical location, and computed tomography (CT) findings at ENT Department of our Tertiary Institution. The study used a randomized, single blind, parallel design with a total of 30 patients, which were randomly allocated to undergo Excision with sublabial approach (group A) in 15 patients (15 nasolabial cysts) and Marsupialization with Transnasal Endoscopic approach (Group B) in 15 patients (15 Nasolabial cysts). In the sublabial approach group, the mean operating time was 91.28 ± 3.1 min, whereas in the transnasal marsupialization group, it was 29.7 ± 3.2 min. These differences were statistically significant (P = 0.003). In the excision with sublabial approach and transnasal endoscopic
marsupialization groups, the visual analogue scale (VAS) for postoperative pain was 5.9 ± 1.4 and 3.2 ± 0.6, respectively (P = 0.001). Ten patients in the sublabial approach group and five patients in the transnasal
marsupialization group had one or more problems during the follow-up period which disappeared spontaneously within 4 weeks without long lasting issues. There were no recurrence lesions or obstructions of the marsupialized cyst opening in either group, according to physical, endoscopic and computed tomography examinations. Nasolabial cysts can be marsupialized transnasally, which offers many advantages over the more traditional sublabial excision method. Transnasal endoscopic
marsupialization has the benefits of a shorter operating time, less postoperative pain, and a low complication rate. Therefore, we propose that Transnasal Endoscopic marsupialization be the treatment of choice for nasolabial cyst, replacing the conventional Excision with sublabial approach.