Frontal Mucocele Following Frontal Sinus Fracture: A Case Report

額竇骨折術後額竇黏液囊腫－病例報告

紀慈航(Tzu-Hang Chi) ； 袁建漢(Chien-Han Yuan) ； 簡志彥(Chih-Yen Chien) ； 羅盛典(Sheng-Dean Luo)

《北市醫學雜誌》 10卷2期 (2013/06) Pp. 163-167

https://doi.org/10.6200/TCMJ.2013.10.2.07

摘要

鼻竇黏液囊腫為良性、緩慢擴張及呼吸上皮覆蓋的囊狀病灶且其常發生在額竇及篩竇，黏液囊腫形成的病因為先天性解剖上的異常、感染、過敏、腫瘤、創傷及先前手術等導致鼻竇開口阻塞，額竇黏液囊腫最常見的臨床症狀是複視、視覺障礙、溢淚、眼球突出、眼球運動受限及眼球移位等眼科症候，然而，創傷後額竇黏液囊腫併顱內侵犯及以皮下腫塊為臨床表現卻不常見，手術為建議的治療方式。

關鍵字

鼻竇 ； 黏液囊腫 ； 顱內侵犯 ； 皮下腫塊

並列摘要

Paranasal sinus mucoceles are benign, slowly expanding, cystic-like lesions that are coated with respiratory epithelium and commonly occur in the frontal and ethmoid sinuses. The etiology of mucoceles can involve congenital anatomic abnormality, infection, allergy, tumor, trauma, and prior surgery and they may result in the obstruction of the sinus ostia, etc. Ophthalmological presentations include diplopia, visual disturbance, epiphora, proptosis, limited ocular movement and orbital displacement, which are the most common symptoms associated with a frontal mucocele. However, post-traumatic frontal mucoceles with intracranial extension, and a subcutaneous mass affecting the forehead are uncommon. Surgical intervention is the preferred treatment.

並列關鍵字

paranasal sinuses ； mucocele ； intracranial extension ； subcutaneous mass

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