Hong Young-Ho, Hong Joon-Hyeong, Park Chong-Yoon, Mun Seog-Kyun
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Chung-Ang University, Seoul, Korea.
J Orofac Pain. 2011 Spring;25(2):170-3.
Myxomas of the maxillary sinus are uncommon benign tumors arising from the primitive mesenchyme. They may be related to dental malformations or missing teeth but may also occur without any abnormalities. They usually result in facial deformity manifested by slow, painless bony expansion. Although these tumors are well-circumscribed, they are more extensive than they appear due to their local aggressiveness and bone erosion. Therefore, it should be widely resected with maximal preservation of surrounding structures to prevent recurrence. This article reports a case of myxoma of the maxillary sinus and nighttime facial pain in a 33-year-old male who underwent curettage following debridement with a microdebrider via an intranasal endoscopic approach and surgery involving a modified Caldwell-Luc approach.
上颌窦黏液瘤是起源于原始间充质的罕见良性肿瘤。它们可能与牙齿畸形或牙齿缺失有关，但也可能在没有任何异常的情况下发生。它们通常导致面部畸形，表现为缓慢、无痛的骨质膨胀。尽管这些肿瘤边界清晰，但由于其局部侵袭性和骨质侵蚀，其范围比外观显示的更广。因此，应广泛切除，并最大程度地保留周围结构以防止复发。本文报道了一例33岁男性上颌窦黏液瘤伴夜间面部疼痛的病例，该患者通过鼻内镜下使用微型切割器进行清创后刮除，并采用改良的柯-陆氏手术入路进行手术。
