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Transnasal inferior meatal antrostomy with a mucosal flap for post-Caldwell–Luc mucoceles in the maxillary sinus

Published online by Cambridge University Press:  05 August 2019

M Suzuki ,
T Matsumoto ,
M Yokota ,
K Toyoda  and
Y Nakamura
M Suzuki*
Affiliation:
Department of Otorhinolaryngology, Nagoya City University, Japan
T Matsumoto
Affiliation:
Department of Otorhinolaryngology, Nagoya City University, Japan
M Yokota
Affiliation:
Department of Otorhinolaryngology, Nagoya City University, Japan
K Toyoda
Affiliation:
Department of Otorhinolaryngology, Nagoya City University, Japan
Y Nakamura
Affiliation:
Department of Otorhinolaryngology, Nagoya City University, Japan
*
Author for correspondence: Dr Motohiko Suzuki, Department of Otorhinolaryngology, Nagoya City University, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan E-mail: suzu-mo@med.nagoya-cu.ac.jp Fax: +81 52 851 5300
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Abstract

Objective

Transnasal inferior meatal antrostomy is increasingly used for the treatment of post-Caldwell–Luc mucoceles in maxillary sinus. This study aimed to report the outcomes after inferior meatal antrostomy with a mucosal flap for recurrent mucoceles.

Method

The records of patients who had undergone transnasal inferior meatal antrostomy with or without a mucosal flap were reviewed.

Results

Transnasal endoscopic inferior meatal antrostomy with or without a mucosal flap was performed in 21 and 49 patients, respectively. No complications were observed. A closing of the antrostomy was found in 9 (18.4 per cent) of the 49 patients who underwent antrostomy without a mucosal flap. No closings were observed in the 21 patients who underwent antrostomy with a mucosal flap. There was a significant difference in the rate of closing for surgery with and without the mucosal flap.

Conclusion

Transnasal endoscopic inferior meatal antrostomy with a mucosal flap is a safe method for the treatment of post-Caldwell–Luc maxillary mucoceles that effectively prevents recurrence.

Keywords

Maxillary SinusMucoceleRecurrenceSurgical Flaps
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 8 , August 2019 , pp. 674 - 677
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr M Suzuki takes responsibility for the integrity of the content of the paper

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