Moriyama H, Nakajima T, Honda Y
Jikei University of Medicine, Tokyo, Japan.
J Laryngol Otol. 1992 Jan;106(1):23-7. doi: 10.1017/s002221510011850x.
Forty-seven mucocoeles of the ethmoid and/or sphenoid sinuses (33 males, 14 females) were operated on during the 10-years period from 1980 through 1989. Thirty-seven cases were post-operative mucocoele, while the remaining 10 were so-called primary mucocoeles. None of the cases had a history of facial trauma. In the majority of post-operative cases, the mucocoele develops 15-24 years after initial surgery. Paranasal sinus surgery in young patients (teenagers) may lead to a mucocoele due to post-operative scarring in the surgical wound. The principal symptoms include globe displacement, double vision, headache, deep orbital pain, a mass in the supero-medial quadrant of the orbit, visual disturbance, etc. Sufficient opening of the mucocoele wall by the endonasal approach is recommended for surgical treatment of ethmoidal and sphenoidal mucocoeles.
在1980年至1989年的10年期间，对47例筛窦和/或蝶窦黏液囊肿患者（男33例，女14例）进行了手术。其中37例为术后黏液囊肿，其余10例为所谓的原发性黏液囊肿。所有病例均无面部外伤史。在大多数术后病例中，黏液囊肿在初次手术后15 - 24年形成。年轻患者（青少年）的鼻窦手术可能因手术伤口的术后瘢痕形成而导致黏液囊肿。主要症状包括眼球移位、复视、头痛、眼眶深部疼痛、眶内上象限肿块、视力障碍等。对于筛窦和蝶窦黏液囊肿的手术治疗，建议经鼻内镜充分打开黏液囊肿壁。
