PDF(Pubmed)
Abstract：
UNASSIGNED: Langenbach (1820) first described paranasal sinus mucoceles under the name of hydatids. Roulette (1909) introduced the name mucocele. Paranasal sinus mucocele is the accumulation of mucus secretions and exfoliated epithelium in the sinuses, causing enlargement of the sinus walls. It is considered a cystic, dilatation-eroding lesion. However, the mucocele often occurs as a localized mass, causing bone erosion and displacement of surrounding structures. If left untreated, a nearby mucocele in the brain can become infected and lead to death. Frontal sinuses are often involved; sphenoid, ethmoid, and maxillary mucoceles are rare. Mucoceles usually result from sinus ostium obstruction due to infection, fibrosis, inflammation, trauma, surgery, or obstruction by tumors such as osteomas. Of all causes, patients most often present with cranio-facial trauma (82.97%) and the most common mechanism is human aggression (90.85%).
UNASSIGNED: This 30-year-old male patient presented with a frontal head swelling of one year duration that started after he sustained a stick injury on the frontal head one year ago, and he has an associated frontal headache for one year. There was a 4x5cm frontal, firm, palpable, non-tender lesion extending from the nasion to the frontal head. On the brain CT scan, there was frontal bone erosion at multiple sites with partial frontal sinus opacity, an externally growing mass, and an old frontal sinus fracture noted. Bifrontal craniotomy and bilateral frontal sinus cranialization were done, and the patient was discharged on the third day and seen a month later with complete improvement from headache and swelling.
UNASSIGNED: The incidence and pathophysiology of posttraumatic frontal sinus mucoceles are not known yet. The surgical management of mucocele demand a multidisciplinary team involving neurosurgeons, ear nose and throat surgeons, oral and maxillofacial surgeons, ophthalmologists and plastic and reconstructive surgeons. By treating the primary cause, frontal sinus fracture at contact, this case report aims to raise awareness of and prevent frontal sinus mucocele and related complications.
UNASSIGNED: This 30-year-old male patient presented with a frontal head swelling of one year duration that started after he sustained a stick injury on the frontal head one year ago, and he has an associated frontal headache for one year. There was a 4x5cm frontal, firm, palpable, non-tender lesion extending from the nasion to the frontal head. On the brain CT scan, there was frontal bone erosion at multiple sites with partial frontal sinus opacity, an externally growing mass, and an old frontal sinus fracture noted. Bifrontal craniotomy and bilateral frontal sinus cranialization were done, and the patient was discharged on the third day and seen a month later with complete improvement from headache and swelling.
UNASSIGNED: The incidence and pathophysiology of posttraumatic frontal sinus mucoceles are not known yet. The surgical management of mucocele demand a multidisciplinary team involving neurosurgeons, ear nose and throat surgeons, oral and maxillofacial surgeons, ophthalmologists and plastic and reconstructive surgeons. By treating the primary cause, frontal sinus fracture at contact, this case report aims to raise awareness of and prevent frontal sinus mucocele and related complications.
摘要：
■Langenbach（1820）首先以包虫的名义描述了鼻旁窦粘膜囊肿。轮盘赌（1909）引入了粘液囊肿这个名字。鼻窦黏液囊肿是鼻窦内黏液分泌物和脱落上皮的积聚，导致窦壁增大.它被认为是囊性的，扩张侵蚀性病变。然而,黏液囊肿通常以局部肿块的形式出现，导致骨侵蚀和周围结构移位。如果不及时治疗，大脑附近的黏液囊肿会被感染并导致死亡。额窦经常受累；蝶骨，筛骨,上颌黏液囊肿很少见.黏液囊肿通常由感染引起的窦口阻塞引起，纤维化，炎症,创伤,手术,或肿瘤如骨瘤阻塞。在所有原因中，患者最常出现颅面外伤（82.97％），最常见的机制是人类攻击（90.85％）。
这位30岁的男性患者出现了为期一年的额头肿胀，这是在一年前他的额头遭受刺伤后开始的，他的额叶头痛持续了一年.有一个4x5cm的额叶,公司，明显的，从鼻翼延伸到额头的非压痛病变。在脑部CT扫描上,多个部位有额骨侵蚀伴部分额窦混浊,外部生长的质量，和一个古老的额窦骨折。进行了双额开颅手术和双侧额窦开颅术，病人在第三天出院，一个月后头痛和肿胀完全好转。
■创伤后额窦黏液囊肿的发病率和病理生理学尚不清楚。粘液囊肿的外科治疗需要一个多学科的团队，包括神经外科医生，耳鼻喉外科医生,口腔和颌面外科医生，眼科医生和整形外科医生。通过治疗主要原因，额窦接触骨折,本病例报告旨在提高对额窦黏液囊肿及相关并发症的认识和预防。
这位30岁的男性患者出现了为期一年的额头肿胀，这是在一年前他的额头遭受刺伤后开始的，他的额叶头痛持续了一年.有一个4x5cm的额叶,公司，明显的，从鼻翼延伸到额头的非压痛病变。在脑部CT扫描上,多个部位有额骨侵蚀伴部分额窦混浊,外部生长的质量，和一个古老的额窦骨折。进行了双额开颅手术和双侧额窦开颅术，病人在第三天出院，一个月后头痛和肿胀完全好转。
■创伤后额窦黏液囊肿的发病率和病理生理学尚不清楚。粘液囊肿的外科治疗需要一个多学科的团队，包括神经外科医生，耳鼻喉外科医生,口腔和颌面外科医生，眼科医生和整形外科医生。通过治疗主要原因，额窦接触骨折,本病例报告旨在提高对额窦黏液囊肿及相关并发症的认识和预防。
