Ferrie J-C, Klossek J-M
Département d'Imagerie, Unité TDM - IRM, Hôpital Jean Bernard, CHU de Poitiers, BP 577, 86021 Poitiers Cedex, France.
J Neuroradiol. 2003 Sep;30(4):219-23.
Sphenoid sinus mucoceles are pseudocystic expansile slow-growing processes that arise within the sphenoid sinus. A dynamic process of bone resorption and erosion results in a pseudo-tumoral development. Clinical features and potential risks are related to mass effect with compression of the optic nerves and intracranial extension of the process. CT and MRI allow diagnosis and distinguish mucoceles from skull base tumors or inflammatory diseases. Endonasal endoscopic approach is adapted to the treatment of sphenoid mucoceles and allows marsupialization of the mucoceles.
蝶窦黏液囊肿是发生于蝶窦内的假性囊性、扩张性、生长缓慢的病变。骨吸收和侵蚀的动态过程导致假性肿瘤形成。临床特征和潜在风险与对视神经的压迫及病变向颅内扩展的占位效应有关。CT和MRI有助于诊断并鉴别黏液囊肿与颅底肿瘤或炎性疾病。鼻内镜手术适用于蝶窦黏液囊肿的治疗，可使黏液囊肿造袋。
