Abrahamson I A, Baluyot S T, Tew J M, Scioville G
Ann Ophthalmol. 1979 Feb;11(2):173-8.
Although not uncommon, and certainly not rare, frontal sinus mucocele was seen in 4 cases by the authors. Since one of the cases was rather unusual, we were prompted to evaluate the subject and prepare this manuscript. Gradual onset of unilateral proptosis should make one suspicious of a mucocele involving the paranasal sinuses, the frontal and ethmoid being the 2 most common locations. Diplopia, due to limited ocular motility on upward gaze, along with proptosis and epiphora are frequently the presenting symptoms which, in one particular case, paradoxically improved at first with topical anti-inflammatory therapy . A team approach (ophthalmologist, radiologist, otorhinolaryngologist, and neurosurgeon) are essential for an accurate diagnosis and therapeutic approach to this problem. The use of a precut template from the Caldwell projection is a very useful device to outline the contours of the frontal sinus during surgery. The not-so-frequent use of abdominal fat to fill the frontal sinus cavity is presented with no apparent postoperative fat necrosis. A 5-year follow-up has shown the patient to be free of recurrences.
虽然额窦黏液囊肿并不罕见，但作者仅发现4例。由于其中1例相当特殊，我们因此对该病例进行评估并撰写此文。单侧眼球突出逐渐出现应使人怀疑鼻窦黏液囊肿，其中额窦和筛窦是最常见的两个部位。向上注视时眼球运动受限导致的复视，以及眼球突出和流泪是常见的症状，在一个特殊病例中，局部抗炎治疗起初反而使症状得到改善。团队协作（眼科医生、放射科医生以及耳鼻喉科医生和神经外科医生）对于准确诊断和治疗该疾病至关重要。在手术中，使用考德威尔位预切模板是勾勒额窦轮廓的非常有用的工具。本文介绍了不常用的用腹部脂肪填充额窦腔的方法，术后未出现明显的脂肪坏死。5年随访显示患者无复发。
