Endoscopic surgery for inverted papilloma originating from the sphenoid sinus and related clinical characteristics
Endoscopic surgery for inverted papilloma originating from the sphenoid sinus and related clinical characteristics
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DOI：
10.1080/00016480701874469
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发表时间：
2008-01
影响因子：
1.4
通讯作者：
Hyung-Ju Cho;Jin-Kook Kim;Kyubo Kim;Y. Kim;Jeung‐gweon Lee;Joo-Heon Yoon
中科院分区：
文献类型：
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作者：
Hyung-Ju Cho;Jin-Kook Kim;Kyubo Kim;Y. Kim;Jeung‐gweon Lee;Joo-Heon Yoon
结论.内翻性乳头状瘤（IP）的CT影像上的骨质改变有助于预测肿瘤的起源和复发部位。由于蝶窦外侧壁和蝶窦底是最常见的起源和复发部位，因此蝶窦前壁应与外侧壁一样宽，并向蝶窦底水平开放，特别是在深度骨化的蝶窦中。目标.孤立性蝶骨IP的发生率极低。蝶窦的常见起源和复发部位至今尚无研究。我们试图确定起源和复发的部位，并描述临床特征，放射学特征和适当的内镜治疗。病人和方法。我们回顾性分析了蝶窦IP患者的病历。资料收集包括临床表现，起源和复发部位，放射学特征和手术方法。结果确定了7名患者。最常见的症状是头痛和鼻塞。影像学表现为肿瘤侵犯鼻腔或筛窦，常伴有侧壁或窦间隔破坏。我们注意到5名受试者同时附着于多个壁，其中3名受试者同时附着于侧壁和地板。
Conclusions. Bony changes on CT imaging of inverted papilloma (IP) are useful for predicting tumor origin and recurrence sites. Because the lateral wall and floor of the sphenoid sinus are the most common origin and recurrence sites, the anterior wall of the sphenoid sinus should be opened as wide as the lateral wall and inferiorly to the level of the floor, especially in deeply pneumatized sphenoid sinuses. Objectives. The incidence of isolated sphenoid IP is exceedingly low. So far, there have not been studies on the usual origin and recurrence sites of the sphenoid sinus. We sought to identify the sites of origin and recurrence and describe clinical characteristics, radiological features, and proper endoscopic management. Patients and methods. We retrospectively reviewed medical records of patients with IP of the sphenoid sinus. Data collection included clinical presentations, origin and recurrent sites, radiological features, and surgical methods. Results. Seven patients were identified. The most common symptoms were headache and nasal obstruction. Radiological findings showed that most tumors extended into the nasal cavity or ethmoid sinus combined frequently with erosion of the lateral wall or intersinus septum. We noted simultaneous attachment to multiple walls in five subjects, including both lateral wall and floor attachment in three subjects.