Acesso endoscópico para tratamento de mucoceles fronto-etmoidais

Introduction: The mucocele is an expansive benign tumor due to the filling of a closed cavity with mucus. Frequently involving the fronto-ethmoidal sinus, it is a rare otolaryngological condition. The etiology is divided into inflammatory and obstructive causes. Aim: To evaluate the endoscopic endon...

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Detalles Bibliográficos
Autores: Santos, Rodrigo P., Barbosa, Luiz H. F., Belfort, Marco A, Ferri, Ricardo Gimenes [UNIFESP], Gregório, Luiz Carlos [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2002
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/1422
Acceso en línea:http://dx.doi.org/10.1590/S0034-72992002000300006
http://repositorio.unifesp.br/handle/11600/1422
Access Level:acceso abierto
Palabra clave:surgical access
mucocele
fronto-ethmoidal
cirurgia
fronto-etmoidal
Descripción
Sumario:Introduction: The mucocele is an expansive benign tumor due to the filling of a closed cavity with mucus. Frequently involving the fronto-ethmoidal sinus, it is a rare otolaryngological condition. The etiology is divided into inflammatory and obstructive causes. Aim: To evaluate the endoscopic endonasal surgical approach for fronto-ethmoidal sinus mucoceles. Study design: Clinical prospective. Material and method: Thirteen patients were followed during the period of January of 2000 to April of 2001, regarding the clinical findings, evolution and surgical results. Results: All patients presented proptosis as the major symptom. Seven patients had the inflammatory form and two the obstructive one. Two patients presented ophthalmologic complications and underwent orbital decompression associated with the endoscopic endonasal technique. There were no recurrences in our study. Conclusions: The endoscopic endonasal approach for fronto-ethmoidal sinus mucoceles is an effective treatment for the disease, avoiding the complications of the early techniques.