We aimed to understand how maxillary sinus mucocele (MSM) influences sinusitis and what treatment options are most effective. Our study observed 36 patients diagnosed with MSM through computed tomography. We looked at their medical histories, symptoms, and surgical treatments, all while following them for at least three years after their procedures.
Our findings revealed that several factors could predispose individuals to MSM, such as chronic sinusitis, past surgeries, allergic rhinitis, and nasal injuries. Interestingly, for about 56% of the patients, we couldn’t identify a clear cause for their condition. The symptoms noted by patients included unilateral cheek pain, swelling, nasal blockages, and even proptosis, which all relate back to the pressure and expansion of the mucocele.
We found that the trans-nasal endoscopic approach for treating MSM, specifically through marsupialization, was both effective and safe. During treatment, patients with more extensive mucoceles required additional steps to ensure the instruments could be properly introduced. Fortunately, each patient reported a complete resolution of their symptoms, and none needed additional surgeries afterward.
Allergies improved significantly
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