Schmerber S, Cuisnier O, Delalande C, Verougstraete G, Reyt E
Service d'ORL et de chirurgie cervico-faciale, CHU de Grenoble BP 217 38043 Grenoble.
Rev Laryngol Otol Rhinol (Bord). 2002;123(2):93-7.
The aim of this retrospective study is to describe the surgical management of paranasal sinus mucoceles.
MATERIALS & METHODS: In the period from 1981 through 2000, 45 patients were treated for symptomatic mucoceles. The mucoceles were most frequently found in the anterior ethmoidofrontal system. 13 patients were operated via a bicoronal transfrontal extradural approach. A complete marsupialization under endonasal endoscopic control was performed in 21 cases. Eleven patients were operated via a trans-facial approach.
The follow up period was 4.7 years (2 to 15 years) on average for endonasal approaches and 11 years on average (2 to 20 years) for the other approaches. All patients were free of complaints immediately after the operation. Nine cases were lost to follow-up. Cysts recurred in 5 patients.
We recommend an endoscopic approach to the treatment of mucoceles as the surgical procedure of choice. In high and lateral extended frontal mucoceles, a trans-frontal extradural approach is still recommended. Long term follow-up is necessary to obtain an accurate assessment of the results.
本回顾性研究旨在描述鼻窦黏液囊肿的外科治疗方法。
在1981年至2000年期间，45例有症状的黏液囊肿患者接受了治疗。黏液囊肿最常见于前筛窦-额窦系统。13例患者通过双冠状经额硬膜外入路进行手术。21例患者在鼻内镜控制下进行了完全袋形缝合术。11例患者通过经面部入路进行手术。
鼻内入路的平均随访期为4.7年（2至15年），其他入路的平均随访期为11年（2至20年）。所有患者术后立即无不适主诉。9例失访。5例患者囊肿复发。
我们建议将内镜治疗黏液囊肿作为首选的手术方法。对于高位和外侧扩展的额窦黏液囊肿，仍建议采用经额硬膜外入路。需要长期随访以准确评估结果。
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