Diagnosis and endoscopic therapy for the cysts primary in lateral sphenoid sinus recess
10.16066/j.1672-7002.2017.01.008
- VernacularTitle:原发于蝶窦外侧隐窝囊肿的诊断与鼻内镜手术治疗
- Author:
Zhaotang ZHONG
1
;
Ze CHEN
;
Minzhi LIANG
;
Lingfei MO
;
Jialu LIANG
Author Information
1. 高州市人民医院耳鼻咽喉科
- Keywords:
Endoscopy;
Cysts;
lateral recess of sphenoid sinus
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2017;24(1):35-38
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To discuss the clinical features of primary lateral recess cysts of the sphenoid sinus,and to study the therapeutic effect of the endoscopic surgery.METHODS Nine patients with primary lateral recess cysts of the sphenoid sinus received endoscopic surgery from 2007 to 2015.Clinical data of the disease was analyzed retrospectively.Seven cases complained of cheek numbness as the chief complaint and 2 cases with progressive vision loss as the chief complaint.There were no obvious positive signs in head and facial regions.All cases were underwent marsupialization of the cysts via sphenoid sinus with nasal endoscope under general anesthesia.RESULTS All the cases had no intraoperative and postoperative complications,and the symptoms were disappeared after operation.No recurrence was found during follow-up of 6 to 24 months.The cavity of the cysts had permanent drainage to sphenoid sinus after operation in all the patients.CONCLUSION 1.Primary lateral recess cysts of the sphenoid sinus had unique symptoms and imaging characteristics.2.The marsupialization of the cysts via sphenoid sinus with nasal endoscope under general anesthesia was a safe,effective and minimally invasive method to management of the primary lateral recess cysts of the sphenoid sinus.
