Har-el G
Department of Otolaryngology, SUNY-Health Science Center at Brooklyn, USA.
J Otolaryngol. 1995 Apr;24(2):98-101.
Traditionally, frontal mucoceles were treated with open obliterative procedures such as collapse of the forehead soft tissues into the sinus or the more cosmetically appealing osteoplastic flap technique. When a frontal mucocele expands intracranially, these surgical procedures become difficult and with higher risk of cerebrospinal fluid leak and/or meningitis. In cases of a mucocele that extends both intracranially and anteriorly into the soft tissues, osteoplastic flap procedure may not be possible. We present our experience with telescopic intranasal surgery for the treatment of frontal mucocele with intracranial extension. The technique, which is based on intranasal marsupialization and stenting, was used in four patients with large mucoceles eroding into the cranium and the anterior soft tissues. The results were excellent and the patients are free of disease 1 to 4 1/2 years after surgery.
传统上，额部黏液囊肿采用开放性闭塞手术治疗，如将前额软组织塌陷至鼻窦内，或采用更具美容效果的骨成形瓣技术。当额部黏液囊肿向颅内扩展时，这些外科手术会变得困难，且脑脊液漏和/或脑膜炎的风险更高。对于黏液囊肿既向颅内又向前延伸至软组织的情况，可能无法进行骨成形瓣手术。我们介绍了经鼻内镜手术治疗伴有颅内扩展的额部黏液囊肿的经验。该技术基于鼻内袋形缝合术和支架置入术，用于治疗4例黏液囊肿较大且已侵蚀颅骨和前部软组织的患者。结果非常理想，患者术后1至4年半均无疾病复发。
