伴有颅底和/或眼眶骨质侵蚀的鼻窦黏液囊肿：内镜手术方法是否足够？
Paranasal sinus mucoceles with skull-base and/or orbital erosion: is the endoscopic approach sufficient?
作者信息
Sautter Nathan B, Citardi Martin J, Perry Julian, Batra Pete S
机构信息
Oregon Sinus Center, Oregon Health and Sciences University, Portland, OR, USA.
出版信息
Otolaryngol Head Neck Surg. 2008 Oct;139(4):570-4. doi: 10.1016/j.otohns.2008.07.004.
OBJECTIVE
The objective of this study was to review the management of paranasal sinus mucoceles with skull-base and/or orbital erosion in the endoscopic era.
STUDY DESIGN
A retrospective data analysis.
METHODS
A chart review was performed on 57 patients treated from January 2001 to March 2007.
RESULTS
The average age at the time of presentation was 50.6 years with a 1:1 male: female ratio. The most common site was the frontal sinus (54.4%), followed by frontoethmoid (29.8%) and sphenoid (8.8%). Areas of erosion included skull base (40.4%), orbit (50.9%), and both orbit and skull base (8.8%). Endoscopic drainage using image guidance was used in all 57 patients without complications. Fifty-six cases (98.2%) had a functionally patent mucocele opening with a median follow-up of 15 months.
CONCLUSIONS
The endoscopic approach can be safely used for the management of mucoceles with skull-base and/or orbital erosion. Open adjunct approaches can be avoided in most cases.
目的
本研究的目的是回顾在内镜时代对伴有颅底和/或眼眶侵蚀的鼻窦黏液囊肿的处理。
研究设计
回顾性数据分析。
方法
对2001年1月至2007年3月期间接受治疗的57例患者的病历进行了回顾。
结果
就诊时的平均年龄为50.6岁，男女比例为1:1。最常见的部位是额窦（54.4%），其次是额筛窦（29.8%）和蝶窦（8.8%）。侵蚀区域包括颅底（40.4%）、眼眶（50.9%）以及眼眶和颅底两者（8.8%）。所有57例患者均采用影像引导下的内镜引流，无并发症发生。56例（98.2%）患者的黏液囊肿开口功能通畅，中位随访时间为15个月。
结论
内镜方法可安全用于处理伴有颅底和/或眼眶侵蚀的黏液囊肿。在大多数情况下可避免采用开放辅助方法。
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