Department of Otorhinolaryngology, Hospital Pakar Sultanah Fatimah, Jalan Salleh, Muar 84000, Malaysia.
Singapore Med J. 2009 Nov;50(11):e374-5.
The incidence of mucocoeles associated with a non-surgically treated nasal polyposis is rare. We report a rare case of nasal polyposis with asymptomatic frontal mucocoeles in a 28-year-old Malay man who presented with bilateral nasal obstruction with anosmia. Physical examination revealed bilateral grade III nasal polyps causing obstruction. Computed tomography revealed paranasal polyposis with a large polyp extending and expanding the posterior table of the frontal sinus causing erosion and thinning of its wall. Marsupialisation of the mucocoele and nasal polypectomy were done. Endoscopic sinus surgery and marsupialisation should be the treatment of choice for asymptomatic frontal mucocoele.
与未经手术治疗的鼻息肉相关的粘液囊肿发病率较低。我们报告了一例罕见的 28 岁马来男性病例，他患有双侧鼻塞伴嗅觉丧失，无症状性额窦粘液囊肿。体格检查发现双侧 III 级鼻息肉导致阻塞。计算机断层扫描显示鼻旁息肉，一个大息肉延伸并扩张额窦后板，导致其壁侵蚀和变薄。进行了粘液囊肿的袋形术和鼻息肉切除术。对于无症状性额窦粘液囊肿，内镜鼻窦手术和袋形术应是首选治疗方法。
