原发于蝶窦外侧隐窝囊肿的诊断与鼻内镜手术治疗  

Diagnosis and endoscopic therapy for the cysts primary in lateral sphenoid sinus recess

作　　者：钟兆棠[1] 陈泽[1] 梁敏志[1] 莫玲飞 梁珈璐 ZHONG Zhaotang CHEN Ze LIANG Minzhi MO Lingfei LIANG Jialu(Department of Otolaryngology, Gaozhou People＇s Hospital, Maoming, Guangdong, 525200, Chin)

机构地区：[1]高州市人民医院耳鼻咽喉科,广东茂名525200

出　　处：《中国耳鼻咽喉头颈外科》2017年第1期35-38,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨原发于蝶窦外侧隐窝囊肿的临床特征及鼻内镜治疗的疗效。方法回顾性分析我院2007~2015年间收治的9例原发于蝶窦外侧隐窝囊肿患者的临床资料及术后随访结果。其中7例患者以面颊部麻木感为主诉,2例患者进行性视力下降为主诉;头面部均无明显阳性体征。均于全麻内镜下经蝶窦入路行囊肿开窗引流术。结果所有患者术中及术后均无并发症发生,术后症状均消失。随访6~24个月,所有患者的囊肿引流口均与蝶窦相通形成永久性引流口,无闭塞或复发。结论 1原发于蝶窦外侧隐窝囊肿的有其独有的症状及影像学特征,区别于一般的蝶窦囊肿;2鼻内镜下经蝶窦入路行囊肿开窗切除术是治疗原发于蝶窦外侧隐窝囊肿的微创、安全、有效术式。OBJECTIVE To discuss the clinical features of primary lateral recess cysts of the sphenoid sinus, and to study the therapeutic effect of the endoscopic surgery. METHODS Nine patients with primary lateral recess cysts of the sphenoid sinus received endoscopic surgery from 2007 to 2015. Clinical data of the disease was analyzed retrospectively. Seven cases complained of cheek numbness as the chief complaint and 2 cases with progressive vision loss as the chief complaint. There were no obvious positive signs in head and facial regions. All cases were underwent marsupialization of the cysts via sphenoid sinus with nasal endoscope under general anesthesia. RESULTS All the cases had no intraoperative and postoperative complications, and the symptoms were disappeared after operation. No recurrence was found during follow-up of 6 to 24 months. The cavity of the cysts had permanent drainage to sphenoid sinus after operation in all the patients. CONCLUSION 1. Primary lateral recess cysts of the sphenoid sinus had unique symptoms and imaging characteristics. 2. The marsupialization of the cysts via sphenoid sinus with nasal endoscope under general anesthesia was a safe, effective and minimally invasive method to management of the primary lateral recess cysts of the sphenoid sinus.

关 键 词：内窥镜检查 囊肿 蝶窦外侧隐窝 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]