Lee Dong Hoon, Lim Sang Chul
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Chonnam National University Hwasun Hospital, Hwasun, Korea.
J Craniofac Surg. 2013 Jul;24(4):e344-6. doi: 10.1097/SCS.0b013e318287d26c.
Intradiploic epidermoid cysts are relatively rare tumors that arise between the 2 tables of cranial bones. We report a very rare case of intradiploic epidermoid cyst of the maxilla, which was managed through dual endoscopic approach. We recommend the dual endoscopic approach, maxillary anterior wall trephination, and middle meatal antrostomy for removal of intradiploic epidermoid cyst of the maxilla. The endoscopic approach through maxillary anterior wall trephination and middle meatal antrostomy allows for good visualization, removal of the intradiploic epidermoid cyst, prompt spontaneous drainage, avoidance of the damage of the nasolacrimal duct and inferior turbinate, and good cosmetic effect.
板障内表皮样囊肿是一种相对罕见的肿瘤，发生于颅骨的两层骨板之间。我们报告了一例极为罕见的上颌骨板障内表皮样囊肿病例，该病例采用双内镜入路进行治疗。我们推荐采用双内镜入路、上颌前壁钻孔术和中鼻道上颌窦造口术来切除上颌骨板障内表皮样囊肿。通过上颌前壁钻孔术和中鼻道上颌窦造口术的内镜入路能够实现良好的视野，切除板障内表皮样囊肿，促进自然引流，避免损伤鼻泪管和下鼻甲，并且具有良好的美容效果。
