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额筛窦黏液囊肿——对其扩大方式的观察

Fronto-ethmoidal mucocele--observation of its mode of enlargement.

作者信息

Ohnishi T, Ashikawa R, Shirahata Y, Asano Y

出版信息

Rhinology. 1982 Dec;20(4):213-21.

PMID:7163740
Abstract

From a study of the roentgenographic findings of fronto-ethmoidal mucoceles and anatomical specimens of the paranasal sinuses the authors surmised that many of the fronto-ethmoidal mucocele probably originate either in one of the deeply seated supra-orbital frontal or ethmoidal recesses, or in an ethmoid cell whose ostium has been obstructed by postoperative, post-traumatic or post-inflammatory osteoneogenesis or cicatrization. When isolated, the cell with secreting mucosa would increase its cavity slowly but steadily, and eventually blocks the naso-frontal duct from without. The characteristic localization of the mucoceles, frequent erosion of the superomedial wall of the orbit with inferolateral displacement of the globe, our roentgenographic findings of a mucocele within the frontal sinus, pseudostratified columnar epithelium that lines the mucocele, occasional multilocularity, and the long interval, over ten years, that is required for the mucocele to show any symptoms in most instances would support this hypothesis.

摘要

通过对额筛窦黏液囊肿的X线检查结果及鼻窦解剖标本的研究,作者推测,许多额筛窦黏液囊肿可能起源于眶上深部的额隐窝或筛窦隐窝之一,或起源于一个开口已被术后、外伤后或炎症后骨生成或瘢痕化阻塞的筛窦气房。当孤立存在时,具有分泌黏膜的气房会缓慢但稳定地增大其腔隙,并最终从外部阻塞鼻额管。黏液囊肿的特征性定位、眶上内侧壁频繁受侵蚀伴眼球向外下移位、我们在额窦内发现黏液囊肿的X线表现、衬于黏液囊肿内的假复层柱状上皮、偶尔出现的多房性以及在大多数情况下黏液囊肿出现任何症状所需的长达十年以上的时间间隔,均支持这一假说。

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