Schaller H
HNO. 1976 Dec;24(12):448-51.
The pathogenesis of frontal sinus mucopyocoele is assessed in 33 patients seen between 1958 to 1972. In 45% there has been previous frontal sinus surgery. The importance of the frontonasal duct and healthy mucosa is stressed. The unexpectedly high number of mucopyocoeles following surgery permitted critical assessment of the procedures employed. The most successful and least complicated of which involved preservation or reconstruction of a drainage canal, removal of the obstructing middle turbinate and use of an indwelling drainage tube for at least 6 months. Regular follow-up and adequate early treatment of intercurrent infection are essential.
对1958年至1972年间收治的33例额窦黏液脓性囊肿患者的发病机制进行了评估。45%的患者曾接受过额窦手术。强调了鼻额管和健康黏膜的重要性。手术后黏液脓性囊肿数量出乎意料地高,这使得对所采用的手术方法进行了批判性评估。其中最成功且并发症最少的方法包括保留或重建引流通道、切除阻塞的中鼻甲以及使用留置引流管至少6个月。定期随访和对并发感染进行充分的早期治疗至关重要。