Berkman Mehmet Zafer, Akar Ezgi, Akmil Mehmet Ufuk, Gok Sevki
Department of Neurosurgery, Acibadem Maslak Hospital, Istanbul, Turkey.
Department of Neurosurgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
North Clin Istanb. 2015 Apr 24;2(1):62-65. doi: 10.14744/nci.2015.98598. eCollection 2015.
Mucoceles are cystic lesions of the paranasal sinuses which develop as a result of accumulation of mucous secretion due to obstruction of the ostium of the sinuses. Despite their benign behavior, they may enlarge progressively and project into adjacent structures by destructing the bony walls of the sinuses. Frontal mucoceles may get infected and extend towards orbital cavity and compress the orbit by eroding the bony walls of the orbital cavity. Endoscopic and external approaches are performed in the surgical treatment. We report a case of complicated fronto-orbital mucopyocele which eroded the orbital roof and extended into the orbital cavity and discuss the surgical treatment strategy under the light of the current literature.
黏液囊肿是鼻窦的囊性病变,由于鼻窦开口阻塞导致黏液分泌物积聚而形成。尽管它们通常表现为良性,但可能会逐渐增大,并通过破坏鼻窦的骨壁向邻近结构突出。额窦黏液囊肿可能会感染,并通过侵蚀眶腔的骨壁向眶腔扩展并压迫眼眶。手术治疗采用内镜和外部入路。我们报告一例复杂的额眶黏液脓性囊肿,其侵蚀了眶顶并延伸至眶腔,并结合当前文献讨论手术治疗策略。