Management of nasolabial cysts by transnasal endoscopic marsupialization.
OBJECTIVE
To evaluate hospitalization rates and duration of surgery associated with transnasal endoscopic marsupialization compared with sublabial excision in treating nasolabial cysts.


METHODS
Retrospective clinical series.


METHODS
Large urban community hospital.


METHODS
Consecutive sample of 57 patients with nasolabial cysts treated from January 1, 2000, to February 29, 2008.


METHODS
Sublabial excision in 23 patients (sublabial group) and transnasal endoscopic marsupialization in 34 patients (transnasal group). Among 57 patients, 47 underwent preoperative computed tomography.


METHODS
History, clinical presentation, preoperative condition, histopathologic findings, treatment, complications, and outcomes.


RESULTS
The mean duration of surgery was 91.3 minutes in the sublabial group and 29.5 minutes in the transnasal group (P = .003). The hospitalization rate was 100% (23 of 23) in the sublabial group and 59% (20 of 34) in the transnasal group (P < .001). The medical costs were significantly lower in the transnasal group than in the sublabial group (P = .002). The follow-up period ranged from 6 to 85 months. Neither group of patients experienced any major complications or recurrences during the follow-up period.


CONCLUSIONS
Transnasal endoscopic marsupialization is an effective treatment for nasolabial cysts, is less costly, and has fewer complications than sublabial excision.
Chao
Wei-Chieh
WC
Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital, Chang Gung University, Kuei Shan, Taoyuan, Taiwan.
Huang
Chi-Che
CC
Chang
Po-Hong
PH
Chen
Ying-Lin
YL
Chen
Chiang-Wen
CW
Lee
Ta-Jen
TJ
D000328:Adult; D000556:Ambulatory Surgical Procedures; D015331:Cohort Studies; D003560:Cysts / Q000175:diagnosis / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000601:surgery; D009668:Nose Diseases / Q000175:diagnosis / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome