Sen Comert, Aydemir Levent, Comoglu Senol, Sonmez Said, Ozturk Ilker Erdinc, Deger Kemal
Istanbul Faculty of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Istanbul University, Istanbul, Turkey.
J Craniofac Surg. 2021 Jun 1;32(4):e386-e388. doi: 10.1097/SCS.0000000000007390.
Paranasal sinus mucocele is a benign cystic lesion, lined with respiratory epithelium and filled with mucoid secretions, which is generally seen in the ethmoid or frontal sinuses. Inflammation, trauma, fibrosis, neoplasm, and previous surgery play a role in etiology. Treatment of this condition requires marsupialization and drainage. Endoscopic surgery is the gold standard procedure.
A 2-year-old boy was referred to our clinic with a diagnosis of bilateral ethmoid mucocele causing proptosis in the right eye. General clinical examinations and routine blood analysis revealed normal health condition of the patient and comorbidities such as cystic fibrosis (CF) and/or ciliary dysfunction were excluded. The patient was operated with an endoscopic endonasal approach.
As far as we know, our article reports the first case of bilateral ethmoidal sinus mucocele with no underlying comorbidity, such as cystic fibrosis or ciliary dyskinesia.
Children are rarely affected by mucocele and if present at early age, there is usually an underlying cause. In pediatric patients with signs and symptoms suggestive of a mucocele, it is important to rule out other benign and malignant paranasal sinus pathologies. Marsupialization and drainage via endoscopic endonasal approach is the preferred treatment modality.
鼻窦黏液囊肿是一种良性囊性病变，内衬呼吸上皮，充满黏液样分泌物，常见于筛窦或额窦。炎症、创伤、纤维化、肿瘤及既往手术在其病因中起作用。该疾病的治疗需要行袋形缝合术及引流。内镜手术是金标准术式。
一名2岁男孩因诊断为双侧筛窦黏液囊肿导致右眼眼球突出被转诊至我院门诊。一般临床检查及常规血液分析显示该患者健康状况正常，排除了诸如囊性纤维化（CF）和/或睫状体功能障碍等合并症。该患者接受了鼻内镜下经鼻入路手术。
据我们所知，我们的文章报道了首例无囊性纤维化或睫状体运动障碍等潜在合并症的双侧筛窦黏液囊肿病例。
儿童很少受到黏液囊肿影响，若在幼年出现，通常存在潜在病因。对于有黏液囊肿相关体征和症状的儿科患者，排除其他鼻窦良性和恶性病变很重要。鼻内镜下经鼻入路行袋形缝合术及引流是首选的治疗方式。
