Clinical Features of Patients Treated with Endoscopic Sinus Surgery for Posttraumatic Paranasal Sinus Mucocele
Clinical Features of Patients Treated with Endoscopic Sinus Surgery for Posttraumatic Paranasal Sinus Mucocele
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内镜鼻窦手术治疗创伤后鼻旁窦粘液囊肿患者的临床特征
DOI：
10.1159/000381918
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Sakagami M
中科院分区：
文献类型：
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作者：
Kojima Y;Tsuzuki K;Yukitatsu Y;Oka H;Takebayashi H;Sakagami M
AimThe purpose of this study is to analyze patients with posttraumatic parasonal sinus mucocele.Subjects and MethodsBetween 2009 and 2013，we performed endoscopic sinus surgery（ESS）on 68 patients with PSM at Department of Otolaryngology，Head and Neck Surgery at Hyogo College of Medicine.回顾性分析了5例男性（年龄范围，45-76岁）创伤后PSM患者。诊断是根据历史的伤害和放射学finds.ResultsPosttraumatic PSM被发现在7%（5/68）的患者。从受伤到确诊的平均时间为28.4年。所有患者均有额窦粘液囊肿。4例患者有头痛、复视、视野缺损和前额肿胀的症状，1例患者无症状。所有病例均在全身麻醉下进行ESS，术后症状改善。再次手术是需要在1例（20%），因为头痛开发阻塞额引流路线7个月后ESS.ConclusionsPosttraumatic PSM是最不常见的形式PSM，主要位于额窦，造成症状后很长一段时间的前额损伤。治疗创伤后PSM的重要经验是获得详细的病史并扩大囊肿的路径以避免复发。
AimThe purpose of this study was to analyze the clinical features of patients with posttraumatic paranasal sinus mucocele (PSM).Subjects and MethodsBetween 2009 and 2013, we performed endoscopic sinus surgery (ESS) on 68 patients with PSM at the Department of Otolaryngology-Head and Neck Surgery at Hyogo College of Medicine. Five male patients (age range, 45-76 years) with posttraumatic PSM were analyzed retrospectively. Diagnosis was based on the history of injury and radiological findings.ResultsPosttraumatic PSM was found in 7%(5/68) of patients. The mean interval from injury to diagnosis was 28.4 years. All patients had frontal sinus mucocele. Four patients had symptoms of headache, diplopia, visual field defect, and forehead swelling, and 1 patient was asymptomatic. ESS was performed under general anesthesia in all cases, and the symptoms improved postoperatively. Reoperation was required in 1 patient (20%) because headache developed with obstruction of the frontal drainage route 7 months after ESS.ConclusionsPosttraumatic PSM was the least frequent form of PSM and was located predominantly in the frontal sinus, causing symptoms long after the forehead injury. The important lessons to be learned for treating posttraumatic PSM are to obtain a detailed history and to enlarge the route to the cyst to avoid its recurrence.