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Paranasal sinus mucoceles in a tertiary center, Southwestern Nigeria: A 10-year review of ophthalmic features, management, and outcome

机译:尼日利亚西南部第三中心的鼻旁窦粘膜囊肿:眼科功能,治疗和结局的十年回顾

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Background and Objective: Paranasal sinus mucoceles result from obstruction of the ostium of the affected paranasal sinus which becomes filled with secretions from the mucosal lining. We report the clinical features, management, and outcome of treatment in patients with paranasal sinus mucoceles in a tertiary health facility. Patients and Methods: Retrospective chart review of all patients with paranasal sinus mucoceles was conducted. Results: A total of 12 cases of paranasal sinus mucoceles were managed during the study period with equal gender distribution and mean age of 37.7 ± 5 years. The mean duration of symptoms before presentation was 2.5 ± 2.2 years, and all the patients presented with nonaxial proptosis, with 7 (58.3%) patients having orbital extension of the mucocele. The frontal and ethmoidal sinuses were most affected and frontoethmoidectomy was performed in 5 (41.7%) patients, while this was combined with medial orbitotomy in 5 (41.7%) patients and orbital exenteration in 2 (16.6%) patients. Conclusion: Paranasal sinus mucoceles are relatively uncommon in our region but still associated with significant ocular morbidity.
机译:背景与目的:鼻旁窦粘膜膨出症是由阻塞受影响的鼻旁窦口所致,该鼻窦内充满了粘膜内膜的分泌物。我们报告了三级保健机构中鼻旁窦黏膜突触患者的临床特征,管理和治疗结果。患者与方法:对所有鼻旁窦粘膜囊肿患者进行回顾性图表回顾。结果:在研究期间共处理了12例鼻旁鼻窦粘膜囊肿病例,性别分布均等,平均年龄为37.7±5岁。出现前症状的平均持续时间为2.5±2.2年,所有患者均出现非轴突性眼突,其中7例(58.3%)患者具有眼眶粘膜膨出。额窦和筛窦的受影响最大,有5(41.7%)例行了筛窦切除术,其中5例(41.7%)的患者行内侧眶切开术,2例(16.6%)的患者进行了眼眶切除术。结论:鼻旁鼻窦粘液囊肿在我们地区相对少见,但仍伴有明显的眼病。

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