外伤及手术后鼻窦黏液囊肿形成(附22例报告)

目的:分析手术及外伤后鼻窦黏液囊肿形成的原因,探讨手术治疗方法及避免囊肿复发的措施.方法:回顾性分析22例鼻窦手术及外伤后形成黏液囊肿的病例.结果:所有患者均于鼻内镜下行囊肿切除术.1例额窦黏液囊肿术后1年后复发,2例术后复查见中鼻甲与鼻腔外侧壁粘连.结论:鼻窦手术及外伤后可致黏液囊肿形成.鼻窦外伤骨折部位应尽量固定,黏膜复位;鼻窦手术中宜保持中鼻甲稳定性、保留窦内正常黏膜,术后密切随访,以减少囊肿复发.

Nasal sinus mucoceles after sinus surgery or trauma

Objective:To analyse the causes of nasal sinus mucoceles after sinus surgery or trauma and explore operative therapy and methods of avoiding mucoceles recurrence.Method:Retrospective analysis were made in 22 cases of nasal sinus mucoceles after sinus surgery or trauma.Result:All the cases underwent endoscopic mucocelectomy. There is one recurrent frontal mucocele in follow-up one year later after surgery and coherency of the lateral nasal cavity with the middle nasal concha in two cases.Conclusion:Sinus surgery or trauma can induce nasal sinus mucoceles. So it is necessory to fix the sinus fracture site and replace the mucosa as possible, keep the the middle nasal concha stability and healthy sinus mucosa in endoscopic surgery,and take long term follow-up for reducing mucoceles recurrence.