Tosun F, Yetiser S, Akcam T, Ozkaptan Y
Gulhane Medical School, Department of Otolaryngology and Head Neck Surgery, Etlik 06018, Ankara, Turkey.
Int J Pediatr Otorhinolaryngol. 2001 Apr 6;58(1):87-90. doi: 10.1016/s0165-5876(00)00468-7.
Sphenochoanal polyp is a rare entity originating from sphenoid sinus. It may be confused with antrochoanal polyp on anterior rhinoscopy because of its similar appearance. Computerized tomography and nasal endoscopy have contributed to an increase of accuracy in the diagnosis of these masses. Simple polypectomy that leaves some part of the polyp inside the sphenoid sinus carries a high risk of recurrence. Destructive external approaches to gain access to the sphenoid sinus are also not advisable in children for a benign disease. We present two cases of sphenochoanal polyps in two children that were operated by endonasal endoscopic approach. They were free of symptoms after surgery. No complications and recurrences were observed at 28 and 18 months of follow-up periods respectively.
蝶筛窦息肉是一种起源于蝶窦的罕见病变。由于其外观相似，在前鼻镜检查时可能会与上颌窦后鼻孔息肉混淆。计算机断层扫描和鼻内镜检查提高了这些肿物诊断的准确性。单纯息肉切除术若在蝶窦内残留部分息肉，则复发风险很高。对于儿童的良性疾病，采用破坏性的外部入路进入蝶窦也是不可取的。我们报告两例儿童蝶筛窦息肉，均采用鼻内镜手术治疗。术后患儿无症状。在分别为期28个月和18个月的随访期内，未观察到并发症和复发情况。
