Distribution of Patients According to Type of Surgery Majority of the patients underwent laparoscopic deroofing with omentoplasty and marsupialization
. (N=36) Type of Surgery Number Percentage Deroofing with omentoplasty 9 25.0 Marsupialization
6 16.7 Marsupialization
with omentoplasty 5 13.9 Cystopericystectomy 5 13.9 Cystopericystectomy with omentoplasty 4 11.1 Enucleation with external drainage 3 8.3 Capitonnage 2 5.6 Enucleation with capitonnage 1 2.8 Pair 1 2.8 Total 36 100.0 Table 8.
was done in 4 (10.52%) patients, while 24 (63.12%) patients were treated with enucleation.
(16) Endoscopic marsupialization
of the mucocele was performed in patients with symptoms or, in asymptomatic patients, if erosion of the orbital walls or skull base was found on imaging.
Hui JJ, Won LD, Yoo-Suk K, Chang-Hoon K, "A case of petrous apex mucocele with unilateral ear fullness treated with endoscopic sphenoid Marsupialization
," Korean J Otorhino-laryngol-Head Neck Surg 2012; 55(1): 453-57.
We decided to avoid both marsupialization
that is often planned for larger lesions  and conventional lancet surgical approach, with the consequent risk of bleeding and potential difficulty in wound healing .
Procedure options are transperineal or transrectal aspiration, endoscopic section of the utricle meatus and transurethral marsupialization
, and open surgery.
In this situation, doing an enteroenterostomy or marsupialization
with the duplicate being left in place to avoid resecting too much of normal bowel is advised [13-15].
Other treatment options are marsupialization
, and enucleation with allogeneic or xenogeneic bone grafting.4
(1) Submandibular calculi located close to the orifice of the Wharton duct can be removed by marsupialization
. This is considered as the best surgical option whenever the calculus can be removed intraorally.
At present, many treatments are available for KCOTs, such as enucleation, curettage, cryosurgery, resection, marsupialization
The surgical techniques used include penile transaction with urethral fistulation (Hussain and Moulvi, 1986), pelvic urethrostomy (Ravi Kumar and Shridhar, 2003), percutaneous tube cystotomy (Streeter et al., 2002) and bladder marsupialization
(May et al., 1998).
We performed a 1-2 cm incision just about the bulged point of the masses, excised masses from adjacent tissue and totally removed both masses and did marsupialization
. Grossly, the specimen consisted of well-delineated creamy grayish mass with elastic consistency measuring 4x3x2.5 cm and 4.5x1.7x1.7 cm (figure 1).