Iqbal J, Kanaan I, Ahmed M, al Homsi M
Department of Neurosciences, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Br J Neurosurg. 1998 Dec;12(6):527-30. doi: 10.1080/02688699844376.
The aetiological spectrum of sphenoid sinus mucocele includes congenital anomaly, trauma, infection, allergy and surgery of the sphenoid sinus. Enlargement of the mucocele, even with a short history, can result in progressive expansion of the sinus and extension of the lesion into the pituitary fossa, the suprasellar region, nasopharynx, orbits, clivus or ethmoid air cells. It is a benign cystic lesion with an excellent prognosis when treated appropriately. Generally, these lesions are managed by an ear, nose and throat surgeon, but when there is extension into the sellar and parasellar (especially suprasellar) regions they are managed by the neurological surgeon. Sphenoid sinus mucocele should be considered in the differential diagnosis when there is suspicion of a cystic lesion in these regions. Three cases of large sphenoid sinus mucocele are presented, with discussion on their neurosurgical management and a review of the literature.
蝶窦黏液囊肿的病因谱包括先天性异常、创伤、感染、过敏以及蝶窦手术。黏液囊肿即使病程较短，其增大也可导致鼻窦渐进性扩张，并使病变延伸至垂体窝、鞍上区、鼻咽部、眼眶、斜坡或筛窦气房。它是一种良性囊性病变，若治疗得当预后良好。一般来说，这些病变由耳鼻喉科医生处理，但当病变延伸至鞍区和鞍旁（尤其是鞍上）区域时，则由神经外科医生处理。当怀疑这些区域存在囊性病变时，鉴别诊断应考虑蝶窦黏液囊肿。本文介绍了3例巨大蝶窦黏液囊肿病例，并讨论了其神经外科治疗方法及文献复习。
