内镜下经鼻中隔进路鼻皮样窦囊肿手术

Transseptal endoscopic excision of nasal dermoid sinus cyst

目的介绍在内镜下经鼻中隔进路施行鼻皮样窦囊肿鼻内造袋术的新方法。方法报告1例先天性鼻皮样窦囊肿患者的临床资料,CT检查结果,手术方法、手术效果以及18个月的随访结果。复习相关文献,讨论先天性鼻皮样窦囊肿的诊断和治疗的进展。结果在内镜下经鼻中隔进路施行鼻皮样窦囊肿造袋术避免了颜面部切口,随访18个月患者情况良好,外鼻无畸形,鼻皮样窦囊肿无复发。结论内镜下经鼻中隔进路鼻皮样窦囊肿造袋术为先天性鼻皮样窦囊肿的治疗提供了一种新的可供选择的手术方法。

Objective Surgery is the curative treatment for nasal dermoid cysts. Many different surgical incisions have been advocated. All approaches described have the advantage of either improved accesibility or improved patients＇ cosmetic satisfaction,but none is optimal. We designed a new transseptal endoscopic approach for the treatment of nasal dermoid sinus cyst and reported the result of a special case. Methods The diagnostic studies, the operative technique, and the result of 18 month follow-up were presented. Results The patient, a 16 years old girl, remains free of disease 18 months after surgical treatment, most importantly without facial scar. Conclusions Transseptal endoscopic approach is an alternative surgical technique for selected nasal dermoid cysts. So far as we know, the operative method presented in the current report is the first surgical approach reported in the world literature.