Dzhambazov K B, Traykova N I, Yovchev I P
Department of Ear, Nose and Throat Diseases, Medical University, 15A Vassil Aprilov St., 4000 Plovdiv, Bulgaria.
Folia Med (Plovdiv). 2001;43(4):19-22.
Mucopyocele of the paranasal sinuses generally develops as complication in patients with chronic inflammatory diseases of the paranasal sinuses, but could also be secondary to trauma, tumor or surgical manipulation. Surgery is the definitive method of cure.
The aim of the study was to assess the endonasal microsurgical marsupialization in treatment of mucopyocele.
Five patients (3 females and 2 males) with mucopyocele of the frontal and/or ethmoidal sinuses were treated in the Department of Ear, Nose, and Throat Diseases at the Medical University in Plovdiv for the period 1996-1999. The process location was exactly defined by high-resolution computed tomography. Endonasal microendoscopic anterior ethmoidectomy with marsupialization was performed. In two patients (frontal sinus mucocele) the endonasal approach was combined with an extranasal approach keeping the functional principles.
The control endoscopic and computer tomographic examinations did not show recurrence of the disease.
Surgical approach in mucocele of the sinuses should be based on the findings of accurate computed tomography, rather than performed as a routine technique. This allows the operation to be particularized, trauma and duration of the operation reduced and function of the sinunasal system preserved.
鼻窦黏液囊肿通常是鼻窦慢性炎症疾病患者的并发症，但也可能继发于外伤、肿瘤或手术操作。手术是根治的 definitive 方法。
本研究的目的是评估鼻内镜下显微造袋术治疗黏液囊肿的效果。
1996 - 1999年期间，普罗夫迪夫医科大学耳鼻喉科治疗了5例（3例女性和2例男性）额窦和/或筛窦黏液囊肿患者。通过高分辨率计算机断层扫描精确确定病变位置。进行了鼻内镜下显微前筛窦切除术并造袋。在2例（额窦黏液囊肿）患者中，鼻内镜入路与鼻外入路相结合，同时遵循功能原则。
内镜和计算机断层扫描对照检查未显示疾病复发。
鼻窦黏液囊肿的手术方法应基于精确的计算机断层扫描结果，而不是作为常规技术进行。这使得手术能够个体化，减少手术创伤和持续时间，并保留鼻窦系统的功能。
