Hildenbrand T, Klein S B, Schramek N, Weber R K
Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Deutschland.
Hals‑, Nasen- und Ohrenklinik, Universitätsklinikum Marburg, UKGM, Marburg, Deutschland.
HNO. 2020 Aug;68(8):581-589. doi: 10.1007/s00106-020-00895-0.
Silent sinus syndrome (SSS), organized hematoma (OH), and pneumosinus dilatans (PD) are rare, usually unilateral diseases of the maxillary sinus. Due to misinterpretation, excessive diagnostics and unnecessarily aggressive surgery or a delay in diagnostics and treatment are common.
The objective of this study was to develop reasonable and comprehensible diagnostic criteria to improve diagnosis and treatment of these rare diseases.
In this retrospective study, all patients treated for SSS, OH, and PD from 2012 to 2019 were identified. Patient history, diagnostic tests and results, and postoperative course were analyzed and compared with the available literature.
During the study period, 7 patients with SSS, 3 patients with PD, and 2 patients with OH were treated and available for follow-up. Comparison of these patients with the literature allowed us to develop diagnostic criteria.
Medical history combined with endoscopic and radiologic criteria should improve preoperative diagnosis of these three rare diseases of the maxillary sinus and help to distinguish them from other differential diagnoses. This approach should minimize morbidity for the patients.
隐匿性鼻窦综合征（SSS）、组织性血肿（OH）和气性鼻窦扩张症（PD）是上颌窦罕见的、通常为单侧性的疾病。由于误解，过度诊断、不必要的激进手术或诊断及治疗延迟的情况很常见。
本研究的目的是制定合理且易于理解的诊断标准，以改善这些罕见疾病的诊断和治疗。
在这项回顾性研究中，确定了2012年至2019年期间所有接受SSS、OH和PD治疗的患者。分析患者病史、诊断检查及结果以及术后病程，并与现有文献进行比较。
在研究期间，7例SSS患者、3例PD患者和2例OH患者接受了治疗并可进行随访。将这些患者与文献进行比较，使我们能够制定诊断标准。
结合病史以及内镜和放射学标准应能改善对上颌窦这三种罕见疾病的术前诊断，并有助于将它们与其他鉴别诊断区分开来。这种方法应能将患者的发病率降至最低。
