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後篩竇鼻竇黏液囊腫併顱內侵犯

Posterior Ethmoid Mucocele with Intracranial Extension

摘要


鼻竇黏液囊腫是一種良性且具有擴張性的病灶,其好發於30至40歲。鼻竇黏液囊腫較常見於額竇和額篩部。診斷上以電腦斷層為較好的診斷工具,但如有顱底侵犯時須靠磁振造影來輔以診斷。治療方法現在以內視鏡囊腫造口手術為主。本院有一名85歲女性因左側臉頰疼痛,嗅覺異常就診,安排電腦斷層檢查,發現右側後篩竇有一囊腫且侵犯到前顱窩。患者接受內視鏡手術,術後病理報告為一黏液囊腫,術後追蹤至今,並無不適症狀產生。

關鍵字

內視鏡 黏液囊腫 鼻竇

並列摘要


Paranasal sinus mucocele is a benign expanding lesion and primarily occurs during the third and fourth decades of life. The most common sites are the frontal sinus and frontoethmoid sinus. CT is a best diagnostic tool, while MRI is helpful when there is skull base invasion. The standard treatment is endoscopic marsupialization. We reported a case of an 85-yearold female with left facial pain and smell dysfunction. We arranged a CT scan and the report indicated that the right posterior ethmoid showed a cystic change with intracranial extension. It was arranged for the patient to undergo endoscopic marsupialization. The pathology was a mucocele of the right posterior ethmoid. No complications were noted after the operation.

並列關鍵字

endoscope mucocele sinus

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