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累及额窦的鼻皮样囊肿的联合微创手术治疗：文献综述与新分类

Combined minimally invasive surgical management of a nasal dermoid sinus cyst affecting the frontal sinus: literature review and new classification.

作者信息

Waniewska-Leczycka Martyna, Cieslik Tomasz, Popko Mariola

机构信息

Department of Otorhinolaryngology, Faculty of Medicine and Dentistry, Medical University of Warsaw, Warsaw, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2020 Dec;15(4):632-644. doi: 10.5114/wiitm.2020.93327. Epub 2020 Feb 26.

DOI:10.5114/wiitm.2020.93327
PMID:33294080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7687672/
Abstract

INTRODUCTION

Nasal dermoid sinus cysts (NDSCs) are the most common lesions associated with midline craniofacial anomalies, in the majority of cases diagnosed during childhood. NDSCs affecting the frontal sinus are rare.

AIM

To demonstrate the clinical, radiological and diagnostic pitfalls of NDSCs affecting the frontal sinus.

MATERIAL AND METHODS

A retrospective analysis of NDSCs affecting the frontal sinus with a literature review and a novel classification is presented.

RESULTS

We present a rare and complex case of an NDSC in an adult patient that affected the frontal sinus. Endoscopic-assisted open rhinoplasty with endoscopic sinus surgery - Draf type 2B approach - was performed as an effective removal method of choice. A literature review supports our report.

CONCLUSIONS

NDSCs affecting the frontal sinus can mimic complications of sinusitis. A minimally invasive combined technique of endoscopic-assisted open rhinoplasty with endoscopic sinus surgery - Draf type 2B frontal sinus approach - is recommended for treatment.

摘要

引言

鼻皮样窦囊肿（NDSC）是与中线颅面畸形相关的最常见病变，大多数病例在儿童期被诊断出来。累及额窦的NDSC很少见。

目的

阐述累及额窦的NDSC的临床、影像学及诊断陷阱。

材料与方法

对累及额窦的NDSC进行回顾性分析，并进行文献综述及提出新的分类方法。

结果

我们报告了一例累及额窦的成年患者的罕见复杂NDSC病例。采用内镜辅助开放性鼻成形术联合内镜鼻窦手术——Draf 2B型手术——作为有效的首选切除方法。文献综述支持我们的报告。

结论

累及额窦的NDSC可酷似鼻窦炎并发症。建议采用内镜辅助开放性鼻成形术联合内镜鼻窦手术——Draf 2B型额窦手术——的微创联合技术进行治疗。

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