Hadar T, Feinmesser R, Lisnyansky I, Yaniv E
ENT Dept., Beilinson Medical Center, Petah Tikva.
Harefuah. 1994 Nov 15;127(10):378-80, 431.
Maxillary sinus cysts are common lesions usually found in routine x-rays of the teeth and sinuses. Although most patients are asymptomatic, there may be headache or periorbital or facial pain. Traditionally, these cysts have been treated by puncture and aspiration, or excision via intranasal antrostomy or Caldwell-Luc operation 23 patients with maxillary sinus cysts who presented with facial pain were treated by endoscopic surgery. During followup of 1 year the cyst recurred in only 1 of the patients (after 2 months). We recommend endoscopic removal of maxillary sinus cysts as the treatment of choice.
上颌窦囊肿是常见病变,通常在牙齿和鼻窦的常规X光检查中发现。虽然大多数患者无症状,但可能会出现头痛或眶周或面部疼痛。传统上,这些囊肿通过穿刺抽吸或经鼻上颌窦造口术或柯-陆氏手术切除进行治疗。23例出现面部疼痛的上颌窦囊肿患者接受了内镜手术治疗。在1年的随访期间,只有1例患者(2个月后)囊肿复发。我们建议将内镜下切除上颌窦囊肿作为首选治疗方法。