鼻内镜下造口术治疗侵入眼眶的鼻窦黏液囊肿

目的：研究鼻内镜下造口术治疗侵入眼眶的鼻窦黏液囊肿和术后处理方法及长期疗效。方法：对24例侵入眼眶的鼻窦黏液囊肿患者，均采用鼻内镜下造口术；术后按内镜鼻窦手术后的常规处理，重点是防止中鼻道粘连及窦口再狭窄和促进窦口上皮化。结果：随访1～5年。24例患者术后均无囊肿复发，无眶内并发症，眼球复位。结论：鼻内镜下造口术治疗侵入眼眶的鼻窦黏液囊肿，无复发和并发症，是一种值得推荐的手术方式；术后处理的重点是防止中鼻道粘连及窦口再狭窄和促进窦口上皮化；长期复查是必要的。

To treat the sinus mucoceles invaded in orbit with marsupialization under nasal endoscope

OBJECTIVE: Studying the method to treat the sinus mucoceles invaded in orbit with marsupialization under nasal endoscope, and determing the long-term efficacy of the endoscopic surgical treatment. METHOD: Twenty-four patients underwent endoscopic wide marsupialization of the mucocele cavity. The postoperative cleaning were carried out according to ESS routine, the focus on preventing obstruction of sinus ostia and middle meatal adhesions. RESULT: Follow-up ranged from 1 to 5 years. There is no case of recurrence and orbital complications. CONCLUSION: Endoscopic approach with marsupialization to the treatment of sinus mucoceles invaded in orbit is associated with no rate of recurrence and no complication, and it is a reliable therapeutic measures. The aim of postoperative cleaning is at preventing obstruction of sinus ostia and middle meatal adhesions. Long time follow-up is needed.