Management of nasolabial cysts by transnasal endoscopic marsupialization

Wei Chieh Chao, Chi Che Huang, Po Hong Chang, Ying Lin Chen, Chiang Wen Chen, Ta Jen Lee*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

27 Scopus citations


Objective: To evaluate hospitalization rates and duration of surgery associated with transnasal endoscopic marsupialization compared with sublabial excision in treating nasolabial cysts. Design: Retrospective clinical series. Setting: Large urban community hospital. Patients: Consecutive sample of 57 patients with nasolabial cysts treated from January 1, 2000, to February 29, 2008. Interventions: Sublabial excision in 23 patients (sublabial group) and transnasal endoscopic marsupialization in 34 patients (transnasal group). Among 57 patients, 47 underwent preoperative computed tomography. Main Outcome Measures: 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. Conclusion: Transnasal endoscopic marsupialization is an effective treatment for nasolabial cysts, is less costly, and has fewer complications than sublabial excision.

Original languageEnglish
Pages (from-to)932-935
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Issue number9
StatePublished - 09 2009




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