DeLozier H L, Parkins C W, Gacek R R
J Laryngol Otol. 1979 Feb;93(2):177-80. doi: 10.1017/s0022215100086904.
The first case of a primary mucocele of the petrous apex is presented and the differential diagnosis is briefly discussed. Since this area is unavailable for direct examination, a thorough radiographic evaluation is essential. A mucocele should be suspected when a lytic lesion has a multiloculated appearance and when the contralateral petrous apex is highly pneumatized. Even then, a biopsy may still be needed to make a definitive diagnosis. The appropriate treatment for these cystic lesions is fistulization into a radical mastoid cavity or an exteriorized sphenoid sinus.
本文报告了首例岩尖原发性黏液囊肿病例，并简要讨论了鉴别诊断。由于该区域无法进行直接检查，全面的影像学评估至关重要。当溶骨性病变呈多房性表现且对侧岩尖高度气化时，应怀疑黏液囊肿。即便如此，仍可能需要活检以明确诊断。对于这些囊性病变，合适的治疗方法是将其瘘管化至根治性乳突腔或外置蝶窦。
