篩竇滯留囊腫─病例報告

Retention Cyst of the Ethmoid Sinus - Case Report

陳建銓(Jiann-Chyuan Chen) ； 李憲彥(Shiann-Yann Lee) ； 張逸良(Yih-Leong Chang) ； 侯書文(Shu-Wen How)

《中華民國耳鼻喉科醫學會雜誌》 27卷1期 (1992/03) Pp. 45-49

https://doi.org/10.6286/1992.27.1.45

摘要

副鼻竇之囊腫病變以黏液囊腫（mucocele）發生在額竇較為常見，而在篩竇發生滯留囊腫（retention cyst）則甚為罕見。本科經驗1例篩竇滯留囊腫的破裂造成眼眶腫脹，經鼻外篩竇開放手術（external ethmoidectomy）清除其黏稠性液體和包圍的囊壁後，眼眶腫脹情形迅速消退，在1年的追蹤中並無復發情形。

關鍵字

篩竇 ； 滯留囊腫 ； 黏液囊腫

並列摘要

Retention cyst is an epithelium-lined cyst containing serous or mucinous fluid. It develops due to ductal blockage of a seromucinous gland in the mucosa. This kind of cyst is common in the maxillary sinuses and is most often asymptomatic. It rarely occurs in the ethmoid sinuses.
In a 46-year-old woman, a retention cyst of the right ethmoid sinus developed and remained dormant for 15 years. It ruptured abruptly on rubbing and resulted in exophthalmos with eyelid edema in a day. The patient underwent an external ethmoidectomy for extirpation the cyst. She did well after the operation and had complete resolution of nasal discharge in 2 weeks. No evidence of cyst recurrence was noted in the 12 months of follow-up.

並列關鍵字

ethmoid sinus ； retention cyst ； mucocele