Hao S P
Department of Otolaryngology, Chang Gung Memorial Hospital and Medical College, Taipei, Taiwan, R.O.C.
J Formos Med Assoc. 1994 Jun;93(6):519-21.
Paranasal sinus mucocele is not uncommon in Taiwan, but is relatively rare in the sphenoid sinus. The symptomatology of mucocele in the sphenoid sinus is quite vague, but it could be well explained by compressive neuropathy. Computed tomographic scanning is the diagnostic imaging study of choice if paranasal mucocele is suspected. This is a report of an unusual case of sphenoid sinus mucocele, presenting with sudden bilateral blindness. The bilaterla optic nerve neuropathy focused attention on the sphenoid sinus, and the patient's previous history of intranasal surgery further suggested the possibility of a mucocele. Computed tomography confirmed the suspicion. The patient recovered her visual function after sphenoidotomy.
鼻窦黏液囊肿在台湾并不罕见，但在蝶窦中相对少见。蝶窦黏液囊肿的症状相当模糊，但可通过压迫性神经病变得到很好的解释。如果怀疑有鼻窦黏液囊肿，计算机断层扫描是首选的诊断性影像学检查。本文报告一例不寻常的蝶窦黏液囊肿病例，患者突然出现双侧失明。双侧视神经病变引起了对蝶窦的关注，患者既往的鼻内手术史进一步提示了黏液囊肿的可能性。计算机断层扫描证实了这一怀疑。患者在蝶窦切开术后恢复了视觉功能。
