Hicks Kelli L, Moe Kris S, Humphreys Ian M
1 University of Washington School of Medicine, Seattle, Washington, USA.
2 Department of Otolaryngology- Head & Neck Surgery, University of Washington, Seattle, Washington, USA.
Ann Otol Rhinol Laryngol. 2018 Nov;127(11):864-869. doi: 10.1177/0003489418798388. Epub 2018 Sep 6.
Describe a novel treatment approach to a rare bony neoplasm in the frontal sinus.
Case report.
Retrospective chart review of an osteoblastoma of the frontal sinuses complicated by a right orbital mucocle. Demographic, endoscopic, radiographic, pathologic, and surgical data were collected for synthesis and review. MEDLINE, Embase, and Cochrane databases were searched from 1977 to 2017 to review publications of surgical management of frontal sinus neoplasms.
A single female patient with a large frontal sinus osteoblastoma was successfully treated with a bilateral transorbital and transnasal approach. The right orbital mucocele was marsupialized into the frontal sinus. Gross total resection of the tumor was achieved, with complete resolution of the presurgical morbidity. The surgery was tolerated well without iatrogenic injury or sequela.
Frontal sinus osteoblastoma is a rare condition. Complete surgical excision is considered curative. Various endoscopic and open approaches have been described. Here we show the feasibility and efficacy of a multiportal strategy in the successful management of a large frontal sinus osteoblastoma complicated by a right orbital mucocele.
描述一种针对额窦罕见骨肿瘤的新型治疗方法。
病例报告。
对一例合并右侧眶黏液囊肿的额窦成骨细胞瘤进行回顾性病历审查。收集人口统计学、内镜、影像学、病理和手术数据进行综合分析和审查。检索1977年至2017年的MEDLINE、Embase和Cochrane数据库，以回顾额窦肿瘤手术治疗的相关文献。
一名患有大型额窦成骨细胞瘤的女性患者通过双侧经眶和经鼻入路成功治愈。右侧眶黏液囊肿被袋形缝合到额窦内。实现了肿瘤的全切除，术前的病症完全消除。手术耐受性良好，未发生医源性损伤或后遗症。
额窦成骨细胞瘤是一种罕见病症。完整的手术切除被认为是可治愈的。已经描述了各种内镜和开放入路。在此，我们展示了一种多通道策略在成功治疗合并右侧眶黏液囊肿的大型额窦成骨细胞瘤中的可行性和有效性。
