副鼻竇骨瘤－四例報告

Osteoma of the Paranasal Sinuses - Report of Four Cases

林錦浩(Ching-Hao Lin) ； 李偉華(Wei-Hwa Lee) ； 黃俊生(Tsun-Sheng Huang)

《中華民國耳鼻喉科醫學會雜誌》 27卷1期 (1992/03) Pp. 73-78

https://doi.org/10.6286/1992.27.1.73

摘要

骨瘤是鼻部及副鼻竇良性腫瘤中最常見的一種，發生率約0.43％-1.0％。好發於20～49歲男性，位置則以額竇最多。臨床表徴呈多樣化，與腫瘤的位置、大小、生長速度及擴張方向有關。
經手術切除及病理報告証實為副鼻竇骨瘤的病例中，我們特別提出表現不同症狀或併發症的4例報告。1例以上眼皮壓痛及間斷性水腫就診，1例主訴慢性副鼻竇炎症狀，1例因顱內氣腫（pneumocephalus）導致意識變化，另1例則以眼眶蜂窩組織炎、眼球突出及視力減損表現。

關鍵字

骨瘤 ； 副鼻竇

並列摘要

Osteoma of the paransal sinuses, although uncommon, is not a rare disease. It is still a fascinating challenge to ENT doctors. It is virtually the most common benign tumor of the nose and paranasal sinuses, especially involving most frequently the frontal sinus. The incidence of osteoma involving the paranasal sinuses is reported from 0.43% to 1.0% in range; however, the true incidence in general population is difficult to be determined because the majority of cases are asymptomatic and therefore undiscovered. The disease is more common in males than in females, and most frequently occurs in the 2nd , 3rd and 4th decades of life. The clinical manifestation of osteoma of the paranasal sinuses covers a wide spectrum, probably due to the slow growth, and varies according to the site, size, rate of growth and direction of extension of the tumor.
We reported herein 4 cases which represented 4 distinctive clinical manifestations: frontal headache, chronic parnasal sinusitis, orbital complication and CNS complication respectively. The papers were reviewed and the origin, clinical manifestations and treatment were discussed.

並列關鍵字

osteoma ； paranasal sinus