Naudo P, Gilain L, Coste A, Lelièvre G, Peynegre R
Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital Intercommunal de Créteil.
Ann Otolaryngol Chir Cervicofac. 1994;111(1):23-7.
The treatment of paranasal sinus mucoceles must assure complete removal and prevention of recurrence. In order to clarify the precise indications for endoscopic management, a retrospective study was undertaken on 16 patients with paranasal sinus mucoceles treated by this method. All of the patients underwent endoscopic exploration with or without an associated bicoronal approach. The follow-up period varied between 3 months and 46 months with a mean of 24. The results were considered satisfactory if the patient's symptoms disappeared and follow-up endoscopy revealed persistence of sinus permeability. Functional endoscopic surgery can be considered as an alternative method in treatment of sinus mucoceles. Only mucoceles confined to the lateral wall of the frontal sinus, and the extended mucoceles, seem to be an out of the way place to endoscopic sinus surgery alone. In these cases, the access has to be completed by an external approach. Concerning adequate recanalization of the nasofrontal duct, results seem encouraging, however a long-term follow-up is necessary to obtain an accurate assessment of the results.
鼻窦黏液囊肿的治疗必须确保完全切除并防止复发。为了明确内镜治疗的精确适应证，对16例采用该方法治疗的鼻窦黏液囊肿患者进行了一项回顾性研究。所有患者均接受了内镜探查，部分联合双冠状入路。随访时间为3个月至46个月，平均24个月。如果患者症状消失且随访内镜显示鼻窦通畅，则结果视为满意。功能性内镜手术可被视为治疗鼻窦黏液囊肿的一种替代方法。只有局限于额窦外侧壁的黏液囊肿以及扩展型黏液囊肿，似乎难以仅通过内镜鼻窦手术处理。在这些病例中，必须通过外部入路来完成手术。关于鼻额管的充分再通，结果似乎令人鼓舞，然而需要长期随访以准确评估结果。
