Kouassi-Ndjeundo J, Buraima F, Ngattia V, Badou K E, Vroh Bts, Yoda M
Mali Med. 2015;30(3):1-6.
To determine the epidemiological, clinical and therapeutic characteristics of sinus mucoceles in Ivory Coast.
A multicenter study conducted in the three services ENT (ear, nose & throat) hospital and university centers and clinics in Abidjan from 1996 to 2012 (16 years). It involved patients who have been diagnosed clinically and radiologically with a sinus mucocele who benefited from surgical treatment.
During the study period, 25 patients were recruited - a hospital incidence of 1.5 cases per year. A female predominance was noted with 60% of women and 40% men with a sex ratio of 0.67. Patients consulted for headache (68%), facial swelling (68%), proptosis (28%). Allergic rhinitis is the antecedent rhinologic found most commonly (32%) followed by sinusitis (12%) and nasal sinus surgery (12%). The naso-sinus CT was performed in all patients diagnosed with mucocele. Surgical excision was made by several surgical approach, the most used were the way of JACQUES and paralateronasal rhinotomy of MOURE. Pathological examination of the surgical specimen confirmed the diagnosis of sinus mucocele. The development was beset by complications such as eyelid swelling (1 case), blurred vision (1 case), unsightly surgical scar (1 case).
The nasal sinus mucoceles are relatively rare benign lesions with pseudo-cystic insidious evolution. Diagnosis suspected by the clinic is confirmed by radiology. Their treatment is mainly surgical.
确定科特迪瓦鼻窦黏液囊肿的流行病学、临床及治疗特征。
1996年至2012年（16年）在阿比让的三家耳鼻喉科（耳、鼻、喉）医院、大学中心及诊所开展的一项多中心研究。研究对象为经临床及放射学诊断为鼻窦黏液囊肿且接受手术治疗的患者。
研究期间，招募了25例患者，医院年发病率为1.5例。女性占优势，女性占60%，男性占40%，性别比为0.67。患者因头痛（68%）、面部肿胀（68%）、眼球突出（28%）就诊。变应性鼻炎是最常见的鼻科既往病史（32%），其次是鼻窦炎（12%）和鼻窦手术史（12%）。所有诊断为黏液囊肿的患者均进行了鼻窦CT检查。通过多种手术入路进行手术切除，最常用的是雅克氏入路和莫雷氏鼻旁切开术。手术标本的病理检查证实为鼻窦黏液囊肿。病情发展伴有并发症，如眼睑肿胀（1例）、视力模糊（1例）、手术瘢痕难看（1例）。
鼻窦黏液囊肿是相对罕见的良性病变，呈假囊肿性隐匿性发展。临床疑似诊断经放射学确诊。其治疗主要为手术治疗。
