Mansour A M, Salti H, Uwaydat S, Dakroub R, Bashshour Z
Department of Ophthalmology, American University of Beirut, Lebanon.
Surv Ophthalmol. 1999 Mar-Apr;43(5):413-26. doi: 10.1016/s0039-6257(99)00004-1.
Paranasal sinus osteoma is a slow-growing, benign, encapsulated bony tumor that may be commonly asymptomatic, being detected incidentally in 1% of plain sinus radiographs or in 3% of sinus computerized tomographic scans. In a patient presenting with orbital cellulitis and epiphora, computed tomography disclosed a large osteoma of the ethmoid sinus. Excision of the osteoma allowed recovery of vision, return of extraocular muscle function, and resolution of choroidal folds. Proptosis, diplopia, and visual loss are other frequent presenting signs of paranasal osteomas. Epidemiology, diagnosis, treatment, and pathologic findings in paranasal sinus osteoma are reviewed.
鼻窦骨瘤是一种生长缓慢的良性包膜性骨肿瘤，通常可能无症状，在1%的鼻窦平片或3%的鼻窦计算机断层扫描中偶然发现。在一名出现眼眶蜂窝织炎和溢泪的患者中，计算机断层扫描显示筛窦有一个大的骨瘤。切除骨瘤后视力恢复、眼外肌功能恢复，脉络膜皱襞消退。眼球突出、复视和视力丧失是鼻窦骨瘤其他常见的表现体征。本文综述了鼻窦骨瘤的流行病学、诊断、治疗及病理表现。
