Prendes M A, Perszyk I, Horkey D, Sokol J, Timoney P
a Ophthalmic Plastic and Reconstructive Surgery . University of Louisville Department of Ophthalmology and Visual Sciences , Louisville , Kentucky , USA.
b Department of Ophthalmology , University of Kentucky College of Medicine , Lexington , Kentucky , USA.
Orbit. 2017 Dec;36(6):388-391. doi: 10.1080/01676830.2017.1337195. Epub 2017 Aug 16.
Orbital surgeons are quite familiar with the diagnosis and management of paranasal sinus mucoceles due their frequent involvement of the orbit. These benign masses form and expand following sinus outflow obstruction secondary to various causes including trauma, inflammation and malignancy, amongst others. The authors present two cases of isolated orbital mucoceles without associated sinus outflow obstruction. There were notably no connections between the paranasal sinuses and the lesions. The mucoceles were diagnosed following orbitotomies and excisional biopsies with confirmatory histopathology. These rare orbital lesions should be considered when evaluating cystic orbital lesions, and the orbital surgeon should be familiar with the proposed pathophysiology and treatment recommendations.
眼眶外科医生对鼻窦黏液囊肿的诊断和处理相当熟悉，因为眼眶常受其影响。这些良性肿物是在鼻窦流出道因包括外伤、炎症和恶性肿瘤等多种原因而阻塞后形成并扩大的。本文作者报告了两例孤立性眼眶黏液囊肿，并无相关鼻窦流出道阻塞。鼻窦与病变之间明显没有连通。黏液囊肿是在眼眶切开术和切除活检后，经组织病理学确诊的。在评估眼眶囊性病变时应考虑这些罕见的眼眶病变，眼眶外科医生应熟悉所提出的病理生理学和治疗建议。
