当科における前頭洞,篩骨洞,蝶形骨洞嚢胞の臨床的検討

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Fifty-three patients with frontal, ehtmoid and sphenoid sinus mucoceles treated in our department from 1987 to 1997 were reviewed clinically. Their mean age was 51.1 years old. There was neither difference between sexes (28 cases of male and 25 of female), nor sides of cystic lesions (28 cases in the right and 25 in the left). They were classified into three groups according to the origin of mucoceles: 1) 34 cases of post-operative mucocele, 2) 15 cases of primary mucocele, and 3) 4 cases of post-traumatic mucocele. Primary mucoceles were predominantly seen in frontal and anterior ethmoid sinuses. In cases of post-operative mucoceles, the mean age of the initial operation was 27.1 years old and the interval between the initial and the second operation was 24.9 years. Blepharal swelling, exophthalmos and double vision were most frequent in mucoceles of the frontal and anterior ethmoid sinuses, while optic pain, headache and paropsis were seen in those of the posterior ethmoid and sphenoid sinuses. In fifty-one cases, surgical treatments were performed. Recently, nasal endoscopic surgery has been increasing. Orbital complications are the most common symptoms of this disease. Most orbital symptoms improved post-operatively. Post-operative mucoceles, especially maxillary sinus mucoceles, have been decreasing due to the decrease of Caldwell-Luc operation on the young and advancement in drug therapy. On the other hand, post-traumatic and primary mucoceles continue to exist.
東京女子医科大学の論文
1997-11-25

当科における前頭洞,篩骨洞,蝶形骨洞嚢胞の臨床的検討

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