以眼部症状为主要表现的鼻窦黏液囊肿3例

Clinical analysis of nasal sinus mucocele with eye symptoms as main manifestation:3 cases report

1病例报告 例1女,72岁,因反复头痛3年多,加重伴左眼视力下降20余天,于2013年4月26日入院。患者3年前无明显诱因出现头痛伴左眼视力下降,症状时好时坏且反复发作。近20多天,头痛频繁发作,左眼视力进行性下降至失明,来我院就诊。MRI检查示：左侧后组筛窦、蝶窦可见边界清楚、质地均匀的高密度影,向周围扩展,考虑为蝶筛窦囊肿（图1）。查体：双眼瞳孔等大形圆,直径约0.

Endoscopic sinus surgery is effective to nasal sinus mucocele with eye symptoms as main manifestation.It is very importment to raise the awareness of the disease and to prompt imaging examination.Three cases were reviewed.One mucocele was found in the frontal sinus ethmoid sinus,1in the fronto-ethmoid sinus and 1in the spheno-ethmoid sinus.All cases were preoperatively diagnosed by CT,MRI or intranasal endoscopy.Nasal sinus mucocele with eye symptoms as main manifestation should be early diagnosed.Endoscopic sinus surgery is a safe and effective method for the treatment of nasal sinus mucocele,and could be the primary choice for it.All cases were treated by nasal endoscopic sinus surgery.The majority of symptoms,such as exophthalmos,epiphora and diplopia,disappeared in all patients.However,vision recovery was observed only in some patients.