Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (3): 33-37.doi: 10.6040/j.issn.1673-3770.0.2023.053

• Original Article • Previous Articles    

Evaluation of different surgical methods in the treatment of maxillary cysts

LI Hongjin, WANG Jian, LAI Yubin, XU Min, XUE Tao, CHEN Fuquan, ZHA Dingjun, CHEN Xiaodong   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Xijing Hospital, Medical University of Airforce, Xi'an 710032, Shanxi, China
  • Published:2024-06-04

Abstract: Objective To explore the advantages and disadvantages of different surgical methods in the treatment of maxillary cysts and to provide a theoretical basis for clinical practice. Methods Forty-one cases of maxillary cysts were selected as research objects. Of these, seventeen patients underwent maxillary cyst resection through a traditional labial gingival approach, and 24 patients underwent maxillary cyst resection through a nasal endoscopic approach. All patients were followed up for >12 months, with an average of 18 months. Visual analog pain score and postoperative reaction, recurrence, and swelling and numbness were observed and compared between the two groups. Results No significant differences were observed in the postoperative reaction, recurrence, swelling and numbness, and visual analog pain scores between the two groups. Conclusion Endoscopic fenestration and labial gingival approaches in the treatment of maxillary cysts have unique advantages. Before the operation, the position relationship between the cyst and each wall of the maxillary sinus can be determined based on imaging and nasal endoscopy to select a more appropriate surgical approach that benefits patients.

Key words: Maxillary cyst, Labial gingival approach, Nasal endoscopy, Anterior lacrimal recess, Inferior nasal meat

CLC Number: 

  • R574
[1] 马兆峰, 李石, 寇国明. 开窗减压联合阻塞器在青少年颌骨囊肿治疗中的应用研究[J]. 中国美容医学, 2016, 25(4): 32-34. doi:10.15909/j.cnki.cn61-1347/r.001099 MA Zhaofeng, LI Shi, KOU Guoming. Application research of fenestration associated with obturator in jaw cysts among teenagers[J]. Chinese Journal of Aesthetic Medicine, 2016, 25(4): 32-34. doi:10.15909/j.cnki.cn61-1347/r.001099
[2] 张同韩, 刘晓玲, 吴纪楠, 等. 大型颌骨囊性病变的开窗减压治疗[J]. 中华口腔医学研究杂志(电子版), 2018, 12(6): 354-359. doi:10.3877/cma.j.issn.1674-1366.2018.06.005 ZHANG Tonghan, LIU Xiaoling, WU Jinan, et al. Application of fenestration for treatment of large jaw cystic lesions[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2018, 12(6): 354-359. doi:10.3877/cma.j.issn.1674-1366.2018.06.005
[3] 孙强. 开窗减压术+Ⅱ期刮治术治疗大型颌骨囊肿的疗效观察[J]. 基层医学论坛, 2017, 21(20): 2653-2654. doi:10.19435/j.1672-1721.2017.20.042 SUN Qiang. Observation on the therapeutic effect of fenestration decompression and second-stage curettage on large jaw cyst[J]. The Medical Forum, 2017, 21(20): 2653-2654. doi:10.19435/j.1672-1721.2017.20.042
[4] 毕国瑞. 开窗减压术与颌骨囊肿刮治术治疗颌骨囊肿临床对比研究[J]. 河南医学研究, 2017, 26(11): 1987-1988 BI Guorui. Clinical comparative study of fenestration decompression and curettage of jaw cyst in the treatment of jaw cyst[J]. Henan Medical Research, 2017, 26(11): 1987-1988
[5] 陈珂. 鼻内镜下鼻腔外侧壁开窗治疗上颌骨囊肿[J]. 山东大学耳鼻喉眼学报, 2014(6): 21-22. doi:10.6040/j.issn.1673-3770.0.2014.309 CHEN Ke. Endoscopic transnasal lateral wall fenestration in treatment of maxillary cyst[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2014(6): 21-22. doi:10.6040/j.issn.1673-3770.0.2014.309
[6] 王磊, 袁英, 于学民, 等. 鼻内镜手术治疗上颌骨囊肿的临床分析[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 31-35. doi:10.6040/j.issn.1673-3770.0.2019.630 WANG Lei, YUAN Ying, YU Xuemin, et al. Endoscopy surgery for maxillary cysts: a clinical analysis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 31-35. doi:10.6040/j.issn.1673-3770.0.2019.630
[7] 齐国荣, 刘乐, 韩秋宏, 等. 鼻内镜开窗术与传统手术治疗上颌骨囊肿的临床观察及对上唇麻木率、炎症因子水平的影响[J]. 武警后勤学院学报(医学版), 2019, 28(5): 26-29. doi:10.16548/j.2095-3720.2019.05.006 QI Guorong, LIU Le, HAN Qiuhong, et al. Clinical observation of endoscopic fenestration and traditional surgery in the treatment of maxillary cysts and effect on the rate of upper lip numbness and levels of inflammatory factors[J]. Journal of Logistics University of PAP(Medical Sciences), 2019, 28(5): 26-29. doi:10.16548/j.2095-3720.2019.05.006
[8] 黄鸣真, 张立强, 曹建华. 鼻内镜下上颌骨囊肿开放术[J]. 山东大学耳鼻喉眼学报, 2007, 21(6): 552-553. doi:10.3969/j.issn.1673-3770.2007.06.026 HUANG Mingzhen, ZHANG Liqiang, CAO Jianhua. Opening of maxillary bone cyst under nasal endoscope[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2007, 21(6): 552-553. doi:10.3969/j.issn.1673-3770.2007.06.026
[9] Suzuki M, Nakamura Y, Ozaki S, et al. Repair of orbital floor fracture with modified transnasal endoscopic approach through anterior space to nasolacrimal duct[J]. J Craniofac Surg, 2017, 28(4): 998-1002. doi:10.1097/SCS.0000000000003535
[10] Herrera R, Rojas H, Estramian A, et al. Adult Grisel Syndrome and Cervical Skull instability. Transnasal endoscopic odontoidectomy and occipito-cervical fusion. Case report and literature review[J]. Surg Neurol Int, 2018, 9(Suppl 1): S8-S15. doi:10.4103/sni.sni_281_17
[11] Saleh H, Choudhury N. Nasal Endoscopic Evaluation[J]. 2018. doi: 10.1007/978-981-10-5442-6_8
[12] 吴学文, 章华, 蒋卫红, 等. 经鼻内镜切除眶内球后病变的临床实践[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(9): 648-653. doi:10.3760/cma.j.issn.1673-0860.2017.09.003 WU Xuewen, ZHANG Hua, JIANG Weihong, et al. Clinical practice of transnasal endoscopic operation for retrobulbar lesions[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2017, 52(9): 648-653. doi:10.3760/cma.j.issn.1673-0860.2017.09.003
[13] Kondo K, Baba S, Suzuki S, et al. Infraorbital nerve located medially to postoperative maxillary cysts: a risk of endonasal surgery[J]. ORL J Otorhinolaryngol Relat Spec, 2018, 80(1): 28-35. doi:10.1159/000486372
[14] 邱蔚六. 口腔颌面外科学[J]. 中华医学杂志, 1995, 75(12): 759-760 QIU Weiliu. Oral and maxillofacial surgery[J]. National Medical Journal of China, 1995, 75(12): 759-760
[15] Gendviliene I, Legrand P, Nicolielo LFP, et al. Conservative management of large mandibular dentigerous cysts with a novel approach for follow up: two case reports[J]. Stomatologija, 2017, 19(1): 24-32
[16] 布斐, 钟翠翠. 颌骨囊肿临床有效治疗方法及疗效观察[J]. 全科口腔医学电子杂志, 2017, 4(14): 5-6. doi:10.16269/j.cnki.cn11-9337/r.2017.14.003 BU Fei, ZHONG Cuicui. Clinical treatment and therapeutic effect of maxillary cyst[J]. General Journal of Stomatology, 2017, 4(14): 5-6. doi:10.16269/j.cnki.cn11-9337/r.2017.14.003
[17] 冀永进, 李青峰, 韩剑星, 等. 鼻内镜下上颌骨囊肿开放术[J]. 临床耳鼻咽喉头颈外科杂志, 2012, 26(17): 798-800. doi:10.13201/j.issn.1001-1781.2012.17.013 JI Yongjin, LI Qingfeng, HAN Jianxing, et al. Transnasal endoscopic marsupialization for treatment of maxillary cysts[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2012, 26(17): 798-800. doi:10.13201/j.issn.1001-1781.2012.17.013
[18] 郝建莹, 孔红, 朱冬冬, 等. 上颌窦囊肿手术进路的选择[J]. 中国耳鼻咽喉头颈外科, 2009, 16(1): 39-41 HAO Jianying, KONG Hong, ZHU Dongdong, et al. Surgical approaches for maxillary sinus cyst[J]. Chinese Archiver of otolaryngology-Head and Neck Surgery, 2009, 16(1): 39-41
[19] Yanagisawa E, Mirante JP, Christmas DA. Endoscopic view of maxillary sinus cysts viewed through an accessory maxillary ostium[J]. Ear Nose Throat J, 2021, 100(5_suppl): 431S-432S. doi:10.1177/0145561319882580
[20] Sun KT, Chen MY, Chiang HH, et al. Treatment of large jaw bone cysts in children[J]. J Dent Child, 2009, 76(3): 217-222
[21] 郑丽, 陈铭晟, 王璐, 等. 艾森克人格因素对颌骨囊肿开窗减压术后应用塞制器患者牙科焦虑症和疼痛的影响研究[J]. 口腔医学研究, 2017, 33(9): 978-981. doi:10.13701/j.cnki.kqyxyj.2017.09.017 ZHENG Li, CHEN Mingsheng, WANG Lu, et al. Influences of eysenck personality factors on dental anxiety and pain of jaw cyst patients treated by cyst plug after fenestration and decompression[J]. Journal of Oral Science Research, 2017, 33(9): 978-981. doi:10.13701/j.cnki.kqyxyj.2017.09.017
[22] 古秋华, 徐镔亭, 王璐. 颌骨囊肿开窗减压术后应用囊肿塞治器患者的牙科焦虑症调查分析[J]. 第二军医大学学报, 2015, 36(11): 1264-1269. doi:10.3724/SP.J.1008.2015.01264 GU Qiuhua, XU Binting, WANG Lu. Survey of dental anxiety in jaw cyst patients treated by cyst plug after fenestration decompression[J]. Academic Journal of Second Military Medical University, 2015, 36(11): 1264-1269. doi:10.3724/SP.J.1008.2015.01264
[23] 赵朝光. Ⅰ期开窗减压与Ⅱ期囊肿刮治联合术式治疗下颌骨大型囊肿并保持下颌骨完整性的临床疗效观察[J]. 全科口腔医学电子杂志, 2018, 5(30): 97-98. doi:10.16269/j.cnki.cn11-9337/r.2018.30.056
[24] Sharma V, Lavania A, Mallick SA, et al. Ectopic canine tooth: a rare cause for maxillary antral mucocoele[J]. Kathmandu Univ Med J, 2006, 4(2): 251-252
[25] Nguyen N, Lavery W, Capocelli K, et al. Tu1990 unsedated in-office transnasal endoscopy is safe and effective in monitoring disease activity in pediatric eosinophilic esophagitis and non-eosinophilic esophageal disease[J]. Gastrointest Endosc, 2018, 87(6): AB611-AB612. doi:10.1016/j.gie.2018.04.2315
[26] 周兵, 韩德民, 崔顺九, 等. 鼻内镜下上颌窦手术[J]. 中国医学文摘(耳鼻咽喉科学), 2007, 22(4): 193-195. doi:10.19617/j.issn1001-1307.2007.04.003 ZHOU Bing, HAN Demin, CUI Shunjiu, et al. Endoscopic maxillary sinus surgery[J]. Chinese Medical Digest(Otorhinolaryngology), 2007, 22(4): 193-195. doi:10.19617/j.issn1001-1307.2007.04.003
[1] LIU Jiaxin, JIANG Ye, SONG Daoliang. Endoscopic transnasal fenestration for maxillary bone cysts: a report of nine cases and a review of the literature [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(2): 84-88.
[2] ZHANG Min, LIU Yongliang, SONG Daoliang, HAN Xuefeng, FENG Xinrong, ZHAO Yunpei. A comparative study on the treatment of severe chronic hypertrophic rhinitis by modified inferior turbinate plasty under nasal endoscopy and low-temperature plasma ablation with fracture displacement of the inferior turbinate [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 83-88.
[3] SUN Xiaohan, LI Na, CHEN Kaixuan, CHEN Min, YAN Shu, CHE Fei. Application of the ROE scale to the evaluation of the quality of life of patients with external nose deformity and nasal septum deviation before and after surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 87-91.
[4] XIE Shuhua, YANG Zhumei, LIU Huiru, DONG Jing. Value of NLR, LMR, and PLR in predicting chronic sinusitis recurrence after endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 54-57.
[5] Haiying WANG. Clinical analysis of 43 cases of nasal septum correction by a two-line method of decompression using a nasal endoscope [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 166-168.
[6] WANG Yuan, ZHOU Han, LIU Xiaojing, ZHANG Liqing, ZHAO Qing, FENG Jian, DONG Weida. Surgical strategies for nasal inverted papilloma and corresponding recurrence rates [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 79-83.
[7] CUI Xiao, YAN Aihui.. Endoscopic anterior prelacrimal recess surgery for treatment of inverted papillomas. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 49-52.
[8] ZHANG Jianwei, WANG Guoqing, NI Ze. A report of craniopharyngioma misdiagnosed as sphenoid sinus cyst. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 109-110.
[9] CHEN Ke. Endoscopic transnasal lateral wall fenestration in treatment of maxillary cyst [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 21-22.
[10] YANG Kai-yan. Treatment of maxillary sinus cyst by maxillary anterior dual puncture [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(5): 49-50.
[11] SHI Yu-yong, LIU Ding-rong. Intranasal endoscopic dacryocystorhinostomy for chronic dacryocystitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 51-53.
[12] YU Peng-ju1, XU Feng-lei2, JIANG Man-jie2. Electric coagulation hemostasis under nasal endoscopy for 121 cases of intractable nosebleed [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 4-5.
[13] ZHENG Xi-qi, XU Jun, WANG Min, LIANG Na, WU Yan-hong, JING Hui. Endoscopic microvascular decompression in the treatment of idiopathic trigeminal neuralgia (36 cases report) [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(1): 36-37.
[14] ZHAO Chun-hong, LI Yu-jie. Treatment for aging patients with intractable epistaxis by nasal endoscopy under general anesthesia [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(1): 45-46.
[15] LI Yu-guang, LIU Feng-ying. Treatment following  failure  of  external  dacryocystorhiostomy  by  nasal endoscopy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(3): 51-53.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!