Sun SJ, Chen AP, Wan YZ, Ji HZ. Endoscopic nasal surgery for mucocele and pyogenic mucocele of turbinate: Three case reports. World J Clin Cases 2022; 10(32): 12007-12014 [PMID: 36405261 DOI: 10.12998/wjcc.v10.i32.12007]
Corresponding Author of This Article
Ai-Ping Chen, MD, Chief Doctor, Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, No. 4 Duanxing West Road, Jinan 250022, Shandong Province, China. apcmail@126.com
Research Domain of This Article
Otorhinolaryngology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 16, 2022; 10(32): 12007-12014 Published online Nov 16, 2022. doi: 10.12998/wjcc.v10.i32.12007
Endoscopic nasal surgery for mucocele and pyogenic mucocele of turbinate: Three case reports
Shu-Juan Sun, Ai-Ping Chen, Yu-Zhu Wan, Hong-Zhi Ji
Shu-Juan Sun, Ai-Ping Chen, Yu-Zhu Wan, Hong-Zhi Ji, Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, Shandong Province, China
Author contributions: Sun SJ, Chen AP analyzed the data and drafted the manuscript; Sun SJ, Chen AP, Wan YZ, Ji HZ participated in the treatment of this patient; Chen AP supervised the treatment and finally decided on the manuscript; and all authors have read and approved the final version of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ai-Ping Chen, MD, Chief Doctor, Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, No. 4 Duanxing West Road, Jinan 250022, Shandong Province, China. apcmail@126.com
Received: August 3, 2022 Peer-review started: August 3, 2022 First decision: September 5, 2022 Revised: September 18, 2022 Accepted: October 20, 2022 Article in press: October 20, 2022 Published online: November 16, 2022
Abstract
BACKGROUND
Cases of turbinate mucocele or pyogenic mucocele are extremely rare. During nasal endoscopy, turbinate hypertrophy can be detected in patients with turbinate or pyogenic mucocele. However, in many instances, differentiating between turbinate hypertrophy and turbinate mucocele is difficult. Radiological examinations, such as computed tomography (CT) or magnetic resonance imaging (MRI), are essential for the accurate diagnosis of turbinate mucocele. Herein, we report three cases of mucocele or pyogenic mucocele of turbinate, including their clinical presentation, imaging findings, and treatments, to help rhinologists understand this condition better.
CASE SUMMARY
Three cases of turbinate and pyogenic mucocele were encountered in our hospital. In all patients, nasal obstruction and headache were the most common symptoms, and physical examination revealed hypertrophic turbinates. On CT scan, mucocele appeared as non-enhancing, homogeneous, hypodense, well-defined, rounded, and expansile lesions. Meanwhile, MRI clearly illustrated the cystic nature of the lesion on T2 sequences. Two patients with inferior turbinate mucocele underwent mucocele lining removal, while the patient with pyogenic mucocele underwent endoscopic middle turbinate marsupialization. The patients were followed up on the first, third, sixth month, and 1 year after discharge, and no complaints of headache and nasal congestion were reported during this period.
CONCLUSION
In conclusion, both CT and MRI are helpful in the diagnosis of turbinate or pyogenic mucocele. Additionally, endoscopic nasal surgery is considered to be the most effective treatment method.
Core Tip: Herein, we reported three cases of turbinate and pyogenic mucocele, including their clinical presentation, imaging findings, and treatment approach. Concha bullosa was the basis of turbinate and pyogenic mucocele. In our study, nasal obstruction and headaches were the most commonly reported symptoms, which was consistent with previous studies. Computed tomography and magnetic resonance imaging are essential for the accurate diagnosis of turbinate mucocele. Surgical removal of turbinate mucocele and pyogenic mucocele is the recommended procedure.
