PDF(Pubmed)
Abstract：
UNASSIGNED: The Pneumosinus Dilatans (PSD) Frontalis is an uncommon condition characterized by abnormal enlargement of the aerated frontal sinus with normal thickness sinus walls. The major complication is aesthetics; however, some cases present with sinus obstructive symptoms.
METHODS: A 32-year-old male presented with complaints of an asymmetrical protrusion on his forehead, as well as recurrent headaches. No signs of sinusitis were detected by periodic examination. Computed tomography demonstrated the presence of large frontal PSD. Due to aesthetic concerns, the patient was selected for forehead aesthetic surgery. The operation was performed through a bi-coronal incision to expose the supraorbital areas. The anterior wall of the right frontal sinus was removed, divided into 2 sections, and fixed into the proper location, and then the sinus outflow was widened. An asymmetric brow lift was then performed to correct the asymmetric brow position. Good results were attained, the patient\'s headache was resolved, and he was pleased with his appearance.
CONCLUSIONS: Although the most prevalent complaint of patients with PSD is aesthetic, some patients exhibit concomitant symptoms, including headaches and sinus obstruction. The constriction and partial obstruction of the sinus ostium may cause sinus cavity hypertrophy. Therefore, re-establishing sufficient drainage for the sinus by opening the sinus ostium is recommended during the reconstruction of the forehead\'s natural architecture to reduce headaches and recurrence of sinus hypertrophy.
CONCLUSIONS: A combination of a bi-coronal approach regarding aesthetic surgery and sinus outflow widening achieves a desirable outcome that gives a good short-term follow-up result.
METHODS: A 32-year-old male presented with complaints of an asymmetrical protrusion on his forehead, as well as recurrent headaches. No signs of sinusitis were detected by periodic examination. Computed tomography demonstrated the presence of large frontal PSD. Due to aesthetic concerns, the patient was selected for forehead aesthetic surgery. The operation was performed through a bi-coronal incision to expose the supraorbital areas. The anterior wall of the right frontal sinus was removed, divided into 2 sections, and fixed into the proper location, and then the sinus outflow was widened. An asymmetric brow lift was then performed to correct the asymmetric brow position. Good results were attained, the patient\'s headache was resolved, and he was pleased with his appearance.
CONCLUSIONS: Although the most prevalent complaint of patients with PSD is aesthetic, some patients exhibit concomitant symptoms, including headaches and sinus obstruction. The constriction and partial obstruction of the sinus ostium may cause sinus cavity hypertrophy. Therefore, re-establishing sufficient drainage for the sinus by opening the sinus ostium is recommended during the reconstruction of the forehead\'s natural architecture to reduce headaches and recurrence of sinus hypertrophy.
CONCLUSIONS: A combination of a bi-coronal approach regarding aesthetic surgery and sinus outflow widening achieves a desirable outcome that gives a good short-term follow-up result.
摘要：
■前肺窦扩张（PSD）是一种罕见的疾病，其特征是充气额窦异常增大，窦壁厚度正常。主要的并发症是美学；然而，一些病例表现为鼻窦阻塞症状。
方法：一名32岁男性主诉额头有不对称突起，以及经常性的头痛。定期检查未发现鼻窦炎的体征。计算机断层扫描显示存在大的额叶PSD。出于美学考虑，患者被选中进行额头美容手术.手术通过双冠状切口进行，以暴露眶上区域。右额窦前壁被切除,分为两部分，并固定在适当的位置，然后鼻窦流出扩大。然后进行不对称的眉毛抬起以校正不对称的眉毛位置。取得了良好的效果，病人的头痛得到了解决，他对自己的外表很满意。
结论：尽管PSD患者最普遍的主诉是美学，一些患者表现出伴随症状，包括头痛和鼻窦阻塞.窦口的狭窄和部分阻塞可能导致窦腔肥大。因此,建议在重建前额的自然结构期间，通过打开窦口重新建立足够的鼻窦引流，以减少头痛和鼻窦肥大的复发。
结论：关于美学手术和鼻窦流出扩大的双冠状入路的组合可获得理想的结果，并提供良好的短期随访结果。
方法：一名32岁男性主诉额头有不对称突起，以及经常性的头痛。定期检查未发现鼻窦炎的体征。计算机断层扫描显示存在大的额叶PSD。出于美学考虑，患者被选中进行额头美容手术.手术通过双冠状切口进行，以暴露眶上区域。右额窦前壁被切除,分为两部分，并固定在适当的位置，然后鼻窦流出扩大。然后进行不对称的眉毛抬起以校正不对称的眉毛位置。取得了良好的效果，病人的头痛得到了解决，他对自己的外表很满意。
结论：尽管PSD患者最普遍的主诉是美学，一些患者表现出伴随症状，包括头痛和鼻窦阻塞.窦口的狭窄和部分阻塞可能导致窦腔肥大。因此,建议在重建前额的自然结构期间，通过打开窦口重新建立足够的鼻窦引流，以减少头痛和鼻窦肥大的复发。
结论：关于美学手术和鼻窦流出扩大的双冠状入路的组合可获得理想的结果，并提供良好的短期随访结果。
