巨大泡性中鼻甲脓囊肿伴眼眶侵犯1例并文献复习

目的:提高对泡性中鼻甲的临床认识。方法:报道1例伴眼眶侵犯的巨大泡性中鼻甲黏液脓囊肿患者的临床资料、手术方法及术后6个月的随访结果,对泡性中鼻甲的常见病变及相关问题进行文献复习。结果:泡性鼻甲发生黏液囊肿时常表现为中鼻甲呈球形膨大,可占据周围间隙并引起骨质压迫吸收,导致眼球移位甚至严重眼部并发症,鼻内镜下手术治疗有较好疗效。结论:泡性中鼻甲是中鼻甲常见解剖变异,较大时可引起周围组织阻塞性病变,其本身也可发生黏液囊肿及息肉等病变,黏液囊肿并发感染可形成脓囊肿,囊肿向四周膨大,可引起眼部并发症甚至颅内并发症,其发展过程一般较缓慢,及时的鼻内镜下手术对该病有良好疗效。

Massive concha bullosa pyocele with orbital extention-A case report and review of the literature

Objective:To discuss the complication of common anatomic variant of the middle turbinate-concha bullosa.Method:We present a 35 years old man with inner canthus proptosis and orbital pain who was diagnosed to be a pyocele originated from concha bullosa by CT and operation.Result:Concha bullosa can develop to a pyocele.Direct extension of the mass from the nose into the orbit may occur.Good therapeutic effect was obtained by endoscopic operation.Conclusion:Concha bullosa can result in obstruction of middle meatus and lead to sinusitis.Polyps or mucocele may also occur to Concha bullosa itself.Pyocele of concha bullosa can develop to such a massive extent that it leads to orbital complication.Endoscopic operation is best treatment to this disesase.