Lund V J
Professorial Unit, Royal National Throat, Nose and Ear Hospital, London, UK.
J Laryngol Otol. 1998 Jan;112(1):36-40. doi: 10.1017/s0022215100139854.
Mucocoeles of the paranasal sinuses are relatively uncommon and in the past have been generally treated by an external surgical approach. Forty-eight mucocoeles in the frontal, fronto-ethmoidal and sphenoidal sinuses have been treated during the last five years, 20 by an entirely endonasal endoscopic approach and 28 by a combination of an external procedure and an endoscopic approach. There were no recurrences in the endoscopic group, with a mean follow-up of 34 months whilst three recurrences occurred in the combined external and endoscopic group which had a mean follow-up of 44 months. This may reflect the complexity and severity of concomitant disease. If a wide marsupialization can be achieved by an entirely endoscopic approach there are a number of advantages, notably a lack of facial scarring in children and young adults.
鼻窦黏液囊肿相对少见，过去通常采用外部手术方法治疗。在过去五年中，共治疗了48例额窦、额筛窦和蝶窦的黏液囊肿，其中20例采用完全鼻内镜手术方法，28例采用外部手术与内镜手术相结合的方法。内镜组平均随访34个月，无复发；而联合外部手术与内镜手术组平均随访44个月，有3例复发。这可能反映了伴发疾病的复杂性和严重性。如果能通过完全内镜手术实现广泛的造袋术，则有许多优点，尤其是儿童和年轻人不会留下面部瘢痕。
