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双侧额窦黏液脓性囊肿的内镜治疗：病例报告及文献复习

Endoscopic management of bilateral frontal mucopyoceles: A Case Report and Literature review.

作者信息

Alhassan Zainab, Molani Fadel, Almomen Ali

机构信息

King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Department of Medical Imaging, KFSH, Dammam, Saudi Arabia; King Fahad Specialist Hospital, Dammam, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2020;68:208-213. doi: 10.1016/j.ijscr.2020.02.039. Epub 2020 Feb 26.

DOI:10.1016/j.ijscr.2020.02.039
PMID:32193137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7078461/
Abstract

OBJECTIVE

To demonstrate the effectiveness of the endonasal endoscopic approach in managing a large bilateral frontal mucopyocele causing a mass effect on the brain.

CASE PRESENTATION

A 17 year old chronic sinusitis patient, presented with bilateral nasal obstruction and increasing left sided headache; was found to have a very large bilateral frontal mucopyoceles with extensive intracranial extradural brain involvement on CT scan and MRI of the sinuses and brain which was drained and evacuated completely using the endonasal endoscopic image guided approach with no complications.

CONCLUSION

The endonasal endoscopic image guided approach is the approach of choice in managing large frontal mucopyocele with brain extension. It is a safe, accurate, reliable approach with no complications.

摘要

目的

证明鼻内镜入路在处理引起脑占位效应的双侧巨大额窦黏液囊肿中的有效性。

病例介绍

一名17岁的慢性鼻窦炎患者，出现双侧鼻塞并左侧头痛加重；鼻窦和脑部的CT扫描及MRI显示其患有双侧巨大额窦黏液囊肿，并伴有广泛的颅内硬膜外脑受累，采用鼻内镜图像引导入路对囊肿进行了引流和彻底清除，未出现并发症。

结论

鼻内镜图像引导入路是处理伴有脑扩展的巨大额窦黏液囊肿的首选方法。它是一种安全、准确、可靠的方法，不会出现并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/415a2f2f6d91/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/47fd8359ea14/gr1v3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/558a7705f173/gr4v6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/68bd0fd95725/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/1d55a107bf99/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/24fe664b43bf/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/29003bd10cdb/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/415a2f2f6d91/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/47fd8359ea14/gr1v3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/558a7705f173/gr4v6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/68bd0fd95725/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/1d55a107bf99/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/24fe664b43bf/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/29003bd10cdb/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ade/7078461/415a2f2f6d91/gr11.jpg

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