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黏液囊肿:46例手术患者的临床特征与结局

Mucocele: Clinical Characteristics and Outcomes in 46 Operated Patients.

作者信息

Plantier Diogo Barreto, Neto Deusdedit Brandão, Pinna Fabio de Rezende, Voegels Richard Louis

机构信息

Department of Otolaryngology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2019 Jan;23(1):88-91. doi: 10.1055/s-0038-1668126. Epub 2018 Oct 24.

DOI:10.1055/s-0038-1668126
PMID:30647790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6331304/
Abstract

Paranasal sinus mucocele is a benign, expansive lesion associated with paranasal sinus obstruction. It affects mostly adults, and is most common in the frontal and ethmoidal sinuses.  To evaluate outcomes in patients undergoing surgical treatment for paranasal sinus mucocele.  Retrospective review of medical records of patients treated for paranasal sinus mucocele at the ENT department of a tertiary care hospital between 2005 and 2016.  Forty-six patients underwent surgical treatment of paranasal sinus mucocele. The mean age was 50.1 years, and 56.5% were male. The most prevalent symptom was pain, and the frontal sinus was most commonly affected. The vast majority of patients (89.1%) underwent endoscopic sinus marsupialization; 10.9% required combined open and endoscopic access. Seven recurrences occurred.  Sinus mucocele is an expansive disease that primarily affects the frontal sinus of adult patients. In most cases, endoscopic surgery is an effective treatment modality.

摘要

鼻窦黏液囊肿是一种与鼻窦阻塞相关的良性、膨胀性病变。它主要影响成年人,最常见于额窦和筛窦。

评估接受鼻窦黏液囊肿手术治疗患者的预后。

回顾性分析2005年至2016年在一家三级医院耳鼻喉科接受鼻窦黏液囊肿治疗患者的病历。

46例患者接受了鼻窦黏液囊肿手术治疗。平均年龄为50.1岁,56.5%为男性。最常见的症状是疼痛,额窦最常受累。绝大多数患者(89.1%)接受了鼻内镜鼻窦造袋术;10.9%需要开放手术与鼻内镜联合入路。发生了7例复发。

鼻窦黏液囊肿是一种主要影响成年患者额窦的膨胀性疾病。在大多数情况下,内镜手术是一种有效的治疗方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44de/6331304/eeef882f7d94/10-1055-s-0038-1668126-i0826or-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44de/6331304/7ef4ab86c910/10-1055-s-0038-1668126-i0826or-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44de/6331304/eeef882f7d94/10-1055-s-0038-1668126-i0826or-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44de/6331304/7ef4ab86c910/10-1055-s-0038-1668126-i0826or-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44de/6331304/eeef882f7d94/10-1055-s-0038-1668126-i0826or-2.jpg

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Large Haller cell mucocele leading to maxillary sinusitis.
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Management of Aesthetic and Functional Deficits in Frontal Bone Trauma.额骨创伤的美学和功能缺陷的处理。
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