Legent F, Bordure P, Korb G, Calais C, Beauvillain C
Service d'ORL, CHR de Nantes.
Ann Otolaryngol Chir Cervicofac. 1991;108(1):30-3.
Pneumosinus dilatans is a rare disease characterized by an evolutive hyperpneumatization of the sinuses. The frontal sinus is most often involved, but any other sinus of the face can be affected. Three cases of pneumosinus dilatans, including two in the frontal sinus and one in the maxillary sinus, are reported. Modelling osteoplasty without drainage of the sinus was performed in all three cases and yielded satisfactory and stable results with a minimal period of observation of 5 years. The long-term effectiveness of modelling osteoplasty must be taken into account to study the physiopathology of pneumosinus dilatans. The most likely etiopathogenetic hypothesis is a disorder in the local growth of the sinus.
鼻窦扩张症是一种罕见疾病,其特征为鼻窦进行性气化增强。最常累及额窦,但面部其他任何鼻窦均可受累。本文报告了3例鼻窦扩张症病例,其中2例累及额窦,1例累及上颌窦。所有3例均采用了不进行鼻窦引流的塑形性骨成形术,术后效果满意且稳定,最短观察期为5年。在研究鼻窦扩张症的病理生理学过程中,必须考虑塑形性骨成形术的长期疗效。最可能的病因学假说是鼻窦局部生长紊乱。