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作者分析13例鼻窦粘液囊肿,其中位于额窦6例,额-筛窦4例,上颌窦2例,筛窦1例。5例有合并病变(合并骨瘤2例,内翻性乳头状瘤2例,鼻-筛窦息肉病1例),7例有鼻-鼻窦既往病史(外伤1例,手术2例,鼻窦炎4例),可见肿瘤、创伤、感染可影响窦口功能而促使粘液囊肿的发生;在诊断本病时,应注意追查其有无既往病史;在鼻窦手术时也应注意保存窦口功能,尤其是额窦。11例症状呈渐进性表现,但有2例以急性方式表现,与囊肿的感染有关。症状有突眼、眼球运动障碍、上睑肿胀、上睑皮肤瘘管形成、面部
The authors analyzed 13 cases of sinus mucinous cysts, of which 6 cases were located in frontal sinus, frontal-ethmoid sinus in 4 cases, maxillary sinus in 2 cases and ethmoid sinus in 1 case. Five cases had combined lesions (2 cases with osteoma, 2 cases with inverted papilloma, 1 case with nasal-ethmoid polyposis), 7 cases with past history of naso-sinus (1 case of trauma, 2 cases of surgery, 2 cases of sinusitis 4 cases), we can see the tumor, trauma, infection can affect the ostia function and promote the occurrence of mucus cysts; in the diagnosis of the disease, should pay attention to trace its presence or absence of history; sinus surgery should also pay attention to save the ostia, especially Is the frontal sinus. Eleven cases showed progressive symptoms, but two cases showed acute manifestations, which were related to cyst infection. Symptoms of exophthalmos, eye movement disorders, upper eyelid swelling, upper eyelid skin fistula formation, facial