Lee John M, Au Michael
Department of Otolaryngology-Head and Neck Surgery, University of Toronto Faculty of Medicine, 190 Elizabeth St., Room 3S438, RFE Bldg., Toronto ON M5G 2N2, Canada.
Ear Nose Throat J. 2016 Sep;95(9):E4-8. doi: 10.1177/014556131609500905.
Onodi cell mucoceles are rare entities that can cause devastating ocular complications if not treated promptly. Delays in the diagnosis are possible because of the wide range of differential diagnoses of unilateral retrobulbar optic neuropathy. We describe a new case of Onodi cell mucocele in a 39-year-old woman, and we present a comprehensive review of the literature on this entity. To the best of our knowledge, no review of Onodi cell mucoceles has been previously published. Our review found that 69% of patients with an Onodi cell mucocele experienced an improvement in vision after surgical decompression. The vast majority of these patients underwent endoscopic decompression; the timing of surgical decompression did not appear to affect outcomes in terms of vision. Onodi cell mucocele requires a high degree of clinical suspicion for diagnosis and a multidisciplinary approach to management that involves primary care physicians, ophthalmologists, and otolaryngologists. Early surgical treatment via an endoscopic approach is recommended for most patients, regardless of the duration of their ophthalmologic signs and symptoms.
Onodi 气房黏液囊肿是一种罕见的疾病，如果不及时治疗，可能会导致严重的眼部并发症。由于单侧球后视神经炎的鉴别诊断范围广泛，因此可能会出现诊断延迟的情况。我们描述了一例 39 岁女性的 Onodi 气房黏液囊肿新病例，并对有关该疾病的文献进行了全面综述。据我们所知，此前尚未发表过关于 Onodi 气房黏液囊肿的综述。我们的综述发现，69% 的 Onodi 气房黏液囊肿患者在手术减压后视力有所改善。这些患者绝大多数接受了内镜减压；就视力而言，手术减压的时机似乎并未影响治疗结果。Onodi 气房黏液囊肿的诊断需要高度的临床怀疑，并且需要初级保健医生、眼科医生和耳鼻喉科医生采取多学科管理方法。对于大多数患者，无论其眼科体征和症状的持续时间如何，建议通过内镜方法进行早期手术治疗。
