Caylakli Fatma, Yavuz Haluk, Cagici Alper Can, Ozluoglu Levent Naci
Baskent University, Faculty of Medicine, Department of Otorhinolaryngology Head and Neck Surgery, Ankara, Turkey.
Head Face Med. 2006 Sep 6;2:29. doi: 10.1186/1746-160X-2-29.
Maxillary sinus mucoceles are relatively rare among all paranasal sinus mucoceles. With the introduction of endoscopic sinus surgical techniques, rhinologic surgeons prefer transnasal endoscopic management of sinus mucoceles. The aim of this study is to describe the clinical presentation of maxillary sinus mucoceles and to establish the efficacy of endoscopic management of sinus mucoceles.
Between 2003 and 2005, 14 patients underwent endoscopic sinus surgery for maxillary sinus mucocele. The presenting sign and symptoms, radiological findings, surgical management and need for revision surgery were reviewed.
There were eight males and six females with an age range of 14 to 65. Ten patients complained of nasal obstruction, five of nasal drainage, five of cheek pressure or pain and one of proptosis of the eye and cheek swelling. The maxillary sinus and ipsilateral ethmoid sinus involvement on computed tomographic studies was seen in 4 patients. Four patients had history of endoscopic ethmoidectomy surgery for ethmoid sinusitis and one had Caldwell-Luc operation in the past. Ethmoidectomy with middle meatal antrostomy and marsupialization of the mucocele was performed in all patients. Postoperative follow-up ranged between 8 to 48 months. All patients had a patent middle meatal antrostomy and healthy maxillary sinus mucosa. No patients need revision surgery.
The most common causes of mucoceles are chronic infection, allergic sinonasal disease, trauma and previous surgery. In 64% of the patients of our study cause remains uncertain. Endoscopic sinus surgery is an effective treatment for maxillary sinus mucoceles with a favorable long-term outcome.
上颌窦黏液囊肿在所有鼻窦黏液囊肿中相对少见。随着鼻内镜鼻窦手术技术的引入，鼻科医生更倾向于经鼻内镜治疗鼻窦黏液囊肿。本研究的目的是描述上颌窦黏液囊肿的临床表现，并确立鼻内镜治疗鼻窦黏液囊肿的疗效。
2003年至2005年期间，14例患者因上颌窦黏液囊肿接受了鼻内镜鼻窦手术。回顾了其呈现的体征和症状、影像学表现、手术治疗及再次手术的必要性。
有8例男性和6例女性，年龄范围为14至65岁。10例患者主诉鼻塞，5例有鼻分泌物，5例有面颊部压迫感或疼痛，1例有眼球突出和面颊肿胀。计算机断层扫描研究显示4例患者上颌窦和同侧筛窦受累。4例患者有因筛窦炎行鼻内镜筛窦切除术的病史，1例既往曾行柯-陆氏手术。所有患者均行筛窦切除术、中鼻道上颌窦造瘘术及黏液囊肿造袋术。术后随访时间为8至48个月。所有患者中鼻道上颌窦造瘘口通畅，上颌窦黏膜健康。无患者需要再次手术。
黏液囊肿最常见的病因是慢性感染、变应性鼻窦疾病、外伤和既往手术。在我们研究的患者中，64%的病因仍不明确。鼻内镜鼻窦手术是治疗上颌窦黏液囊肿的一种有效方法，长期效果良好。
