Comparison of Conventional Excision via a Sublabial Approach and  Transnasal Marsupialization for the Treatment of Nasolabial Cysts: A Prospective Randomized Study

이재용; 백병준; 변장열; 장혁순; 이병돈; 김동욱

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자료유형: 학술저널

저자정보: 이재용 백병준 변장열 장혁순 이병돈 김동욱

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제2권 제2호

발행연도: 2009.1

수록면: 85 - 89 (5page)

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Objectives. Surgical excision via a sublabial approach is considered the standard treatment for nasolabial cysts. Although transnasal marsupialization has been proposed as an alternative method, no prospective study has compared the effectiveness of these techniques. We thus compared the surgical procedure, operating time, postoperative pain, complications, and recurrence rate between the two surgical methods. Methods. Twenty patients diagnosed with nasolabial cysts were allocated randomly into two groups according to the surgical technique. In the sublabial approach group, the cysts were excised completely using a sublabial approach, while in the transnasal marsupialization group, the cysts were marsupialized transnasally under the guidance of nasal endoscopes. The pure operating time was measured and postoperative pain was evaluated using a visual analog scale. Complications after the procedure were assessed and recurrence was determined according to the clinical symptoms and postoperative radiologic findings. Results. The transnasal marsupialization group had significantly shorter operating times, less postoperative pain, lower complication rates, and shorter duration of side effects than the sublabial approach group. No recurrence occurred in either group after a 1-yr follow-up period. Conclusion. Although both methods are effective for treating nasolabial cysts, the transnasal marsupialization of nasolabial cysts has many benefits over the conventional sublabial approach. Therefore, we propose that transnasal marsupialization be the treatment of choice for nasolabial cysts.

#Nasolabial cyst #Sublabial approach #Transnasal marsupialization #Surgical technique #Operation time #Postoperative pain #Complication #Recurrence

참고문헌 (10)

참고문헌 신청

Allard RH / 1982 / Nasolabial cyst. Review of the literature and report of 7 cases / Int J Oral Surg 11 (6) : 351 ~ 359

Chen CN / 2009 / Microdebrider-assisted endoscopic marsupialization for the nasolabial cyst: comparisons between sublabial and transnasal approaches / Am J Rhinol Allergy 23

Choi JH / 2002 / Nasolabial cyst: a retrospective analysis of 18 cases / Ear Nose Throat J. 81 (2) : 94 ~ 96

Cohen MA / 1985 / Huge growth potential of the nasolabial cyst / Oral Surg Oral Med Oral Pathol 59 (5) : 441 ~ 445

David VC / 1986 / Nasolabial cyst / Clin Otolaryngol Allied Sci. 11 (1) : 5 ~ 8

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