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[内镜手术治疗孤立性蝶窦内翻性乳头状瘤合并脑脊液鼻漏——病例报告]

[Endoscopic surgical treatment of isolated inverted papilloma of the sphenoid sinus complicated by cerebrospinal fluid (CSF) rhinorrhea--case report].

作者信息

Barnaś Szczepan, Adamek-Nowak Dorota, Pitala Grzegorz

机构信息

Oddział Otolaryngologiczny, 4 Wojskowego Szpitala Klinicznego we Wrocławiu.

出版信息

Otolaryngol Pol. 2009 Sep;63(7):93-5. doi: 10.1016/S0030-6657(09)70199-4.

Abstract

This report presents a case of isolated inverted papilloma of the sphenoid sinus in 48-year old patients diagnosed and treated in ENT Departament of Military Hospital in Wrocław. Post operative course complicated by cerebrospinal fluid (CSF) rhinorrhea. We used Surgicel, lyophylized dura and TachoComb with Tissucol to close dural fistula. Using of this in reconstructive surgery to treat post operative CSF leak was effective. In last CT three years after operation, we observe the bone decline in sphenoid sinus and recurrence of the leasion in sphenoid sinus.

摘要

本报告介绍了一名48岁患者的蝶窦孤立性内翻性乳头状瘤病例,该患者在弗罗茨瓦夫军事医院耳鼻喉科确诊并接受治疗。术后病程因脑脊液鼻漏而复杂化。我们使用速即纱、冻干硬脑膜和含凝血酶的纤维蛋白胶来封闭硬脑膜瘘。在重建手术中使用这种方法治疗术后脑脊液漏是有效的。术后三年的最后一次CT检查中,我们观察到蝶窦骨质减少以及蝶窦病变复发。

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