Research Article

Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study with Long-term Follow-up

Volume: 4 Number: 3 December 25, 2021
European Journal of Rhinology and Allergy Cover
European Journal of Rhinology and Allergy
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Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study with Long-term Follow-up

Abstract

Objective: To determine the risk factors for recurrence in endoscopically treated frontoethmoid mucoceles. Methods: A retrospective study was designed. The patients with frontoethmoidal mucoceles who underwent endonasal surgical approach and followed up for a minimum of 4 years were included. The demographic data of patients, symptoms, etiological and prognostic features, location, and classification of the mucocele were recorded. Results: Sixty-four patients were included in the study. The mean age of patients was 45.2 [range: 10-83, standard deviation (SD):618.2], and the male: female ratio was 0.72. The mean follow-up duration was 75 months (min. 52, max. 168 months, SD: 42.1). Bone erosion at lamina papyracea was detected in 30 patients (46.9%), orbital roof (n¼ 20, 31.3%), and ethmoid roof (n¼ 15, 23.4%). Major complications were encountered in two patients (% 8). During follow-up (mean: 75 months min. 52, max. 168, SD: 42.1), recurrence was found in eight cases (12.5%). Comparison of risk factors regarding recurrence of mucocele after surgery showed statistical significance for posterior frontal wall dehiscence (P¼ .014) and revision endoscopic surgery (P¼ .005). However, further analysis with binary logistic regression, revision nasal endoscopic sinus surgery was the only significant risk factor for mucocele recurrence (P¼ .047, odds ratio: 6.43). Conclusion: Endoscopic endonasal marsupialization of frontoethmoid mucoceles is a safe and efficient for management. A long-term follow-up is important for the accurate assessment of recurrence. The presence of revision nasal surgery was a significant risk factor for recurrence, so, more extensive surgeries can be considered to minimize the risk.

Keywords

References

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Uygar Levent Demir This is me
0000-0002-9590-1420
Türkiye

Publication Date

December 25, 2021

Submission Date

October 6, 2021

Acceptance Date

November 16, 2021

Published in Issue

Year 2021 Volume: 4 Number: 3

DOI

https://doi.org/10.5152/ejra.2021.21046

IZ

https://izlik.org/JA92XT84PN

Cite

RIS / Bibtex
APA
Eren, E., İşlek, A., Demir, U. L., Göde, S., & Karcı, H. (2021). Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study with Long-term Follow-up. European Journal of Rhinology and Allergy, 4(3), 81-86. https://doi.org/10.5152/ejra.2021.21046
AMA
1.Eren E, İşlek A, Demir UL, Göde S, Karcı H. Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study with Long-term Follow-up. Eur J Rhinol Allergy. 2021;4(3):81-86. doi:10.5152/ejra.2021.21046
Chicago
Eren, Erdem, Akif İşlek, Uygar Levent Demir, Sercan Göde, and Halil Karcı. 2021. “Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study With Long-Term Follow-up”. European Journal of Rhinology and Allergy 4 (3): 81-86. https://doi.org/10.5152/ejra.2021.21046.
EndNote
Eren E, İşlek A, Demir UL, Göde S, Karcı H (December 1, 2021) Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study with Long-term Follow-up. European Journal of Rhinology and Allergy 4 3 81–86.
IEEE
[1]E. Eren, A. İşlek, U. L. Demir, S. Göde, and H. Karcı, “Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study with Long-term Follow-up”, Eur J Rhinol Allergy, vol. 4, no. 3, pp. 81–86, Dec. 2021, doi: 10.5152/ejra.2021.21046.
ISNAD
Eren, Erdem - İşlek, Akif - Demir, Uygar Levent - Göde, Sercan - Karcı, Halil. “Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study With Long-Term Follow-up”. European Journal of Rhinology and Allergy 4/3 (December 1, 2021): 81-86. https://doi.org/10.5152/ejra.2021.21046.
JAMA
1.Eren E, İşlek A, Demir UL, Göde S, Karcı H. Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study with Long-term Follow-up. Eur J Rhinol Allergy. 2021;4:81–86.
MLA
Eren, Erdem, et al. “Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study With Long-Term Follow-up”. European Journal of Rhinology and Allergy, vol. 4, no. 3, Dec. 2021, pp. 81-86, doi:10.5152/ejra.2021.21046.
Vancouver
1.Erdem Eren, Akif İşlek, Uygar Levent Demir, Sercan Göde, Halil Karcı. Risk Factors for Recurrence in Endoscopically Treated Fronto-Ethmoid Mucoceles: A Multi-Institutional Retrospective Study with Long-term Follow-up. Eur J Rhinol Allergy. 2021 Dec. 1;4(3):81-6. doi:10.5152/ejra.2021.21046

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