Iseh K R
Department of Otorhinolaryngology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
J Surg Tech Case Rep. 2010 Jan;2(1):49-53. doi: 10.4103/2006-8808.63728.
Mucoceles of the paranasal sinuses are not common, but usually present as cystic lesions causing facial asymmetry requiring surgery. Hitherto surgical attempts at excision were external surgical approaches with the use of stents to drain the frontoethmoidal sinus, if they were the principal sinus involved, for a variable period. Recent advances in endoscopic sinus surgery have made the endoscopic approach to surgically manage paranasal sinus mucoceles the new trend. A total of 18 patients were seen over a ten-year period with paranasal sinus mucocele; 14 cases were managed through the external approach, while four were consecutively managed endoscopically. The endoscopic approach in the surgical management of mucoceles of the paranasal sinuses and the external approach are discussed in this article with the intent of showing the advantages of the two approaches, with more emphasis on the endoscopic approach and caution that should the endoscopic approach prove difficult, reversal to the external approach should be undertaken immediately, so as to avoid unnecessary complications.
鼻窦黏液囊肿并不常见，但通常表现为引起面部不对称的囊性病变，需要手术治疗。迄今为止，手术切除尝试采用的是外部手术方法，如果额筛窦是主要受累鼻窦，则使用支架引流额筛窦一段可变的时间。鼻内镜鼻窦手术的最新进展使鼻内镜手术治疗鼻窦黏液囊肿成为新趋势。在十年期间共诊治了18例鼻窦黏液囊肿患者；14例采用外部手术方法治疗，4例连续采用鼻内镜手术治疗。本文讨论了鼻内镜手术和外部手术治疗鼻窦黏液囊肿的方法，旨在展示两种方法的优点，更强调鼻内镜手术方法，并提醒如果鼻内镜手术证明困难，应立即改为外部手术方法，以避免不必要的并发症。
