Crampette L, Mondain M, Rombaux P
ENT Department, Hôpital Saint Charles, Montpellier, France.
Rhinology. 1995 Mar;33(1):43-5.
Two cases of sphenochoanal polyp (SCP) in children are reported. SCPs originate in the sphenoid sinus cavity, and extend into the choanal via the ostium. Symptoms associated with the syndrome include nasal blockage and headaches. Endoscopical examination reveals the presence of a choanal polyp, and the sphenoid origin of the polyp can be determined by CT scan. In cases where the middle meatus is obstructed, an opacity of the maxillary sinus is often observed. SCPs cannot be distinguished from antrochoanal polyp (ACP) by histological means. The treatment of the SCPs involves surgical removal and enlargement of the sphenoid sinus ostium. Ignorance surrounding the existence and the treatment of this syndrome may result in insufficient treatment and the consequent recurrence of the disorder.
本文报告了两例儿童蝶筛窦息肉（SCP）。SCP起源于蝶窦腔，并通过窦口延伸至后鼻孔。该综合征的相关症状包括鼻塞和头痛。内镜检查可发现后鼻孔息肉，通过CT扫描可确定息肉的蝶窦起源。在中鼻道受阻的情况下，常可观察到上颌窦混浊。无法通过组织学方法将SCP与上颌窦后鼻孔息肉（ACP）区分开来。SCP的治疗包括手术切除和扩大蝶窦开口。对该综合征的存在和治疗缺乏了解可能导致治疗不足，进而导致疾病复发。
