下鼻甲黏液囊肿1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2023.261

摘要/Abstract

摘要： 目的探讨下鼻甲黏液囊肿的临床表现及诊断方法。方法复习1例37岁女性患者的病历资料。患者因鼻塞、流涕、溢泪20余天就诊,经副鼻窦CT和MRI检查提示,诊断为双侧上颌窦炎症并囊肿、右侧下鼻甲囊肿、鼻中隔偏曲,入院行鼻内镜下右侧下鼻甲黏液囊肿切除术及鼻内镜下多个鼻窦开窗术。结果术后常规鼻内镜检查鼻腔黏膜功能恢复良好,术后病理示右鼻腔纤维结缔组织囊壁(内衬纤毛柱状上皮)伴急慢性炎细胞浸润并见增生的骨组织。结论下鼻甲黏液囊肿是一种罕见疾病,其病因机制尚且不明确,影像学检查有助于明确诊断,手术治疗为下鼻甲黏液囊肿的首选治疗方法,复发率低且预后良好。

关键词: 黏液囊肿, 下鼻甲, 鼻腔黏膜功能, 鼻内镜, 预后

Abstract: Objective To investigate the clinical manifestations and diagnostic methods of inferior turbinate mucocele. Methods The medical records of a 37-year-old female patient who complained of nasal congestion, runny nose, and tears for more than 20 days were reviewed. CT and MRI examinations of the paranasal sinuses indicated the following diagnoses: bilateral maxillary sinus inflammation with a cyst; right inferior turbinate cyst; deviation of the nasal septum. The patient underwent the resection of a cyst in the right inferior turbinate and multiple sinus fenestrations, all performed under nasal endoscopy. Results The function of the nasal mucosa recovered well following routine postoperative nasal endoscopy. Postoperative pathology revealed that the cyst wall in the right nasal cavity consisted of fibrous connective tissue(lined with ciliated columnar epithelium)and was accompanied by acute and chronic inflammatory cell infiltration and bone tissue hyperplasia. Conclusion This case of unconfirmed inferior turbinate mucocele is extremely rare because its etiology has not yet been clarified. Moreover, the pathogenesis remains unclear. Imaging studies aid in confirming the diagnosis, and surgical treatment is the preferred method for inferior turbinate mucocele, with a low recurrence rate and favorable prognosis.

Key words: Mucocele, Inferior turbinate, Nasal mucosal function, Nasal endoscopy, Prognosis

中图分类号:

R765.2

李美辰,陈海玲,李阳,马登殿. 下鼻甲黏液囊肿1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 91-94.

LI Meichen, CHEN Hailing, LI Yang, MA Dengdian. Mucocele of inferior turbinate: a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 91-94.

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