Messerer Mahmoud, Cossu Giulia, Daniel Roy Thomas
a Department of Neurosurgery , University Hospital of Lausanne , Lausanne , Switzerland.
Br J Neurosurg. 2019 Feb;33(1):107-109. doi: 10.1080/02688697.2017.1297770. Epub 2017 Mar 15.
Delayed post-traumatic mucoceles are rare. We describe the surgical treatment of a post-traumatic ethmoidal mucocele with intra-orbital extension.
A uninostril endoscopic endonasal approach (EEA) was performed. The access was contralateral to the lesion to provide a wider lateral view. After a large sphenoid and ethmoid sinuses opening, the collection was drained and the optic nerve precociously identified. The orbital roof was eroded and the frontal dura mater directly visible.
The uninostril contralateral approach allows a good exposure of the lateral fields and is conservative towards the nasal mucosa. A favorable skull base anatomy is the prerequisite for its efficacy.
创伤后延迟性黏液囊肿较为罕见。我们描述了一例伴有眶内扩展的创伤后筛窦黏液囊肿的手术治疗。
采用单鼻孔内镜鼻内入路（EEA）。入路与病变位于对侧，以提供更广阔的外侧视野。在广泛打开蝶窦和筛窦后，排出积液并及早识别视神经。眶顶骨质被侵蚀，可直接看到额部硬脑膜。
单鼻孔对侧入路能良好暴露外侧区域，且对鼻黏膜损伤较小。有利的颅底解剖结构是其疗效的前提条件。
