Hashim A S, Asakura T, Awa H, Yamashita K, Takasaki K, Yuhi F
Surg Neurol. 1985 Jan;23(1):69-74. doi: 10.1016/0090-3019(85)90163-6.
A large mucocele of the frontal and ethmoidal sinuses with extracranial, intracranial, and intraorbital extension accompanied by total destruction of the left frontal sinus was treated successfully. We chose a two-stage surgical procedure for radical removal of the lesion. It is important to ascertain the degree of dural involvement, not only because extensive involvement of the dura mater presents technical surgical difficulties, but also because this knowledge provides clues regarding the pathology of the lesion. Even after surgical treatment, the mucocele may recur if the patent sinus ostium is exposed to the dura mater, or if the ostium subsequently becomes blocked.
一例伴有左额窦完全破坏、向颅外、颅内和眶内扩展的额窦和筛窦大型黏液囊肿成功得到治疗。我们选择了两阶段手术程序来彻底切除病变。确定硬脑膜受累程度很重要，这不仅是因为硬脑膜广泛受累会带来手术技术困难，还因为这一信息能为病变的病理情况提供线索。即使经过手术治疗，如果开放的鼻窦开口暴露于硬脑膜，或者开口随后被阻塞，黏液囊肿仍可能复发。
