Hazan A, Le Roy A, Chevalier E, Benzaken J, Waisberg A, Cymbalista M, Adotti F, Peytral C
Service ORL, CHI de Montfermeil, Montfermeil.
Ann Otolaryngol Chir Cervicofac. 1998 Dec;115(6):367-72.
We analyzed atelectasic processes occurring in the maxillary sinus. Several publications in the literature have tempted to analyze the pathogenesis. Clinically the processes are often silent and only revealed when the major opthalmological complication, enophthalmia, becomes patent. In other cases there is a long history of chronic sinusitis. There is a spectacular retraction of the maxillary sinus walls leading to collapse of the orbital floor and enophthalmia. We report four cases of maxillary sinusitis with atelectasia of the sinus walls at different stages of progression. These observations and data in the literature emphasize the importance, whatever the state of development, of endoscopic osteal decompression to avoid ophthalmological complications.
我们分析了上颌窦中发生的肺不张过程。文献中的几篇出版物试图分析其发病机制。临床上，这些过程通常没有症状，只有当主要的眼科并发症——眼球内陷出现时才会被发现。在其他情况下，则有慢性鼻窦炎的长期病史。上颌窦壁会出现明显的回缩，导致眶底塌陷和眼球内陷。我们报告了4例处于不同进展阶段的上颌窦壁肺不张的上颌窦炎病例。这些观察结果和文献中的数据强调了无论发育状态如何，内镜下骨减压以避免眼科并发症的重要性。
