Shanbag Raghunath D, Pandurangi Aniketh, Dinesh Rashmi
Department of Otorhinolaryngology, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1147-1152. doi: 10.1007/s12070-020-02206-z. Epub 2020 Oct 20.
Describe experience of managing paranasal sinus mucoceles, with either endoscopic endonasal approach (EESS) or combined external with EESS approach. Retrospective study done at SDMCMS&H, between 2007 and 2019, on patients undergoing surgical excision of mucocele. Results described as mean, median, mode, percentages. Twenty-one patients were included, with male to female ratio (0.75:1), mean age (42.95 years). Commonest presentation were facial pain (42.85%),visual symptoms (28.57%), headache (23.80%). Signs included, proptosis (52.38%), facial deformity (23.80%). Imaging: showed frontal mucoceles (42.85%), fronto-ethmoid (38.09%), ethmoid (14.28%), sphenoid (4.76%). Orbital extension in 42.85%, sinusitis (33.33%), skull base erosion (23.80%). EESS or combined external and EESS approach (61.90%, 38.09% respectively) were performed. Complete excision of mucocele wall done. Recurrence in two cases(average-2.5 years),revision surgery performed without further recurrences. Either EESS or combined external and EESS approach used based on site and extension of mucoceles. Complete peeling of mucocele wall without obliteration of the sinus cavity was the mode of surgical management in all cases.
描述采用鼻内镜经鼻入路（EESS）或外部联合EESS入路治疗鼻窦黏液囊肿的经验。2007年至2019年在SDMCMS&H对接受黏液囊肿手术切除的患者进行回顾性研究。结果以均值、中位数、众数、百分比描述。纳入21例患者，男女比例为0.75:1，平均年龄42.95岁。最常见的表现为面部疼痛（42.85%）、视觉症状（28.57%）、头痛（23.80%）。体征包括眼球突出（52.38%）、面部畸形（23.80%）。影像学检查显示额窦黏液囊肿（42.85%）、额筛窦（38.09%）、筛窦（14.28%）、蝶窦（4.76%）。眼眶受累42.85%，鼻窦炎33.33%，颅底骨质侵蚀23.80%。分别采用EESS或外部联合EESS入路（分别为61.90%、38.09%）。黏液囊肿壁完全切除。2例复发（平均2.5年），行翻修手术，未再复发。根据黏液囊肿的部位和范围采用EESS或外部联合EESS入路。所有病例的手术方式均为完全剥除黏液囊肿壁，不闭塞鼻窦腔。
