Babiński Dariusz, Skorek Andrzej, Stankiewicz Czesław, Wasilewski Wojciech, Kloc Wojciech
Katedra i Klinika Chorób Uszu, Nosa, Gardła i Krtani, Gdański Uniwersytet Medyczny kierownik.
Otolaryngol Pol. 2011 Jan-Feb;65(1):62-5. doi: 10.1016/S0030-6657(11)70630-8.
We discuss a case of 49-year-old man admitted to our Department with headache and tumor of frontal region since 3 months. We report clinical features and imaging data of mucocele of frontal sinus that penetrates into cranial cavity. The mucocele had damaged anterior and posterior walls of frontal sinus with intracranial penetration. There was intact dura of anterior fosse. External approach with coronal incision was performed, mucocele was evacuated and mucosa was removed. Then frontal sinus was cranialized with reconstruction of anterior wall and finally wide nasal drainage was performed. Intracranial mucocele of the frontal sinus is rere evidence. The key difficulties may be related to dura preservation and reconstruction of anterior wall of frontal sinus.
我们讨论了一名49岁男性患者的病例，该患者因头痛和额部肿物3个月前来我院就诊。我们报告了额窦黏液囊肿侵入颅腔的临床特征和影像学资料。该黏液囊肿破坏了额窦的前壁和后壁并侵入颅内，前颅窝硬脑膜完整。采用冠状切口进行外部入路，清除黏液囊肿并切除黏膜。然后对额窦进行颅骨化并重建前壁，最后进行广泛的鼻腔引流。额窦颅内黏液囊肿是罕见的病症。关键难点可能与硬脑膜的保留以及额窦前壁的重建有关。
