Heller E M, Persky M S
Department of Otolaryngology, New York University School of Medicine, New York 10016.
J Otolaryngol. 1988 Jun;17(4):155-8.
Destructive lesions of the clivus produce symptoms related to adjacent anatomic structures. Radiographic evaluation of a patient presenting with cranial neuropathies revealed a cystic lesion of the clivus, and surgical and histologic findings established a diagnosis consistent with a mucocele. There have been no previous reports in the literature describing a primary mucocele of the clivus. Appropriate treatment for these fluid-filled structures is marsupialization or exteriorization into the sphenoid sinus. A trans-septal sphenoidal approach was used in this case and is advocated as an effective means of managing cystic lesions in this area.
斜坡的破坏性病变会产生与相邻解剖结构相关的症状。对一名出现颅神经病变的患者进行影像学评估时发现斜坡有一个囊性病变，手术和组织学检查结果确诊为符合黏液囊肿的诊断。此前文献中尚无关于原发性斜坡黏液囊肿的报道。对于这些充满液体的结构，合适的治疗方法是袋形缝合术或将其引流至蝶窦。本例采用经鼻中隔蝶窦入路，该入路被认为是处理该区域囊性病变的有效方法。
