Hssaine K, Belhoucha B, Rochdi Y, Nouri H, Aderdour L, Raji A
Service d'ORL et de chirurgie cervico-faciale, CHU Mohammed VI, Marrakech, Maroc.
Rev Stomatol Chir Maxillofac Chir Orale. 2016 Feb;117(1):11-4. doi: 10.1016/j.revsto.2015.11.006. Epub 2015 Dec 28.
Mucocele is a pseudo-cystic tumor of the paranasal sinuses. Despite its benign histological nature, it is aggressive towards neighboring structures (orbit and brain). Our aim was to study the epidemiological, clinical, therapeutic, and evolution aspects of this pathology.
We conducted a retrospective study over a period of 9 years on 32 patients operated on and followed for mucocele in our department.
Mean age was 43.28 years with a sex ratio to 1. Mucoceles were located in the fronto-ethmoid sinus (27 cases), the maxillary sinus (3 cases) and the sphenoid sinus (2 cases). The most common symptoms were periorbital swelling and exophthalmia. CT scan confirmed the diagnosis in the majority of cases. MRI was performed in 3 patients. Surgery consisted in a large marsupialization by endonasal approach in 30 cases, and by a combined approach in two cases. A recurrence was observed in two patients after a mean period of 18 months.
Mucocele is a benign and expansive pseudo-cystic tumor, affecting mostly adults and developing in the paranasal sinuses. Clinical symptoms are not specific. It may reveal itself by ophthalmic or intracranial complications. Diagnosis is based on imaging (CT and MRI). Endonasal surgery has become the gold standard for the treatment of mucoceles and is endowed with low morbidity.
黏液囊肿是鼻窦的一种假性囊性肿瘤。尽管其组织学性质为良性，但对邻近结构（眼眶和大脑）具有侵袭性。我们的目的是研究这种疾病的流行病学、临床、治疗及演变方面。
我们对在本科室接受黏液囊肿手术及随访的32例患者进行了为期9年的回顾性研究。
平均年龄为43.28岁，男女比例为1。黏液囊肿位于额筛窦（27例）、上颌窦（3例）和蝶窦（2例）。最常见的症状是眶周肿胀和眼球突出。多数病例经CT扫描确诊。3例患者进行了MRI检查。30例患者采用鼻内镜下大袋形缝合术，2例采用联合手术。2例患者平均18个月后复发。
黏液囊肿是一种良性扩展性假性囊性肿瘤，主要影响成年人，发生于鼻窦。临床症状不具特异性。它可能通过眼部或颅内并发症表现出来。诊断基于影像学检查（CT和MRI）。鼻内镜手术已成为黏液囊肿治疗的金标准，且发病率低。
