Aldhneen Baqer A, Alabdulaal Maria R, Aljubran Hussain J, Alharbi Abdulrahman G, Alanazi Eman R, Almomen Ali
Department of Otolaryngology Head and Neck Surgery, Alahsa Health Cluster, Al Hofuf 36375, Saudi Arabia.
Department of Otolaryngology Head and Neck Surgery, Aljabr Eye and ENT Hospital, Alahsa Health Cluster, Alahsa 36375, Saudi Arabia.
J Surg Case Rep. 2025 Sep 6;2025(9):rjaf673. doi: 10.1093/jscr/rjaf673. eCollection 2025 Sep.
A variety of pathologies and anatomical variations contribute to the underreporting of pediatric paranasal sinus disorders. The frontal sinus presents significant risk for complications due to its proximity to the orbit and brain. Three cases encountered in a tertiary hospital are discussed in this study to illustrate the usefulness of endonasal endoscopic methods in addressing pediatric frontal sinus lesions. These included bilateral frontal sinus mucopyoceles, bilateral frontal allergic fungal sinusitis, and a unilateral frontal mucocele, all of which were completely resolved with no recurrence during follow-up. Diagnosis is often delayed in pediatric patients due to their unusual presentations. In conclusion, endoscopic sinus surgery is the cornerstone for managing challenging pediatric frontal sinus disease, showing good recovery and superior cosmetic outcomes. The minimally invasive endoscopic approach is recommended for these conditions.
多种病理状况和解剖变异导致小儿鼻窦疾病报告不足。额窦因其靠近眼眶和大脑而存在显著的并发症风险。本研究讨论了在一家三级医院遇到的三例病例，以说明鼻内镜方法在处理小儿额窦病变中的作用。这些病例包括双侧额窦黏液囊肿、双侧额窦变应性真菌性鼻窦炎和单侧额窦黏液囊肿，所有病例均完全治愈，随访期间无复发。由于小儿患者表现不典型，诊断往往延迟。总之，鼻内镜鼻窦手术是治疗具有挑战性的小儿额窦疾病的基石，显示出良好的恢复情况和卓越的美容效果。对于这些情况，建议采用微创内镜方法。
