증례

위-아래 접근법으로 치료한 전두동 점액낭종 3예

문수진1, 김순구1, 정재환1, 노환중1,*
Sue Jean Mun1, Soon-Gu Kim1, Jaehwan Jung1, Hwan-Jung Roh1,*
Author Information & Copyright
1양산부산대학교병원 이비인후과
1Department of Otorhinolaryngology, Pusan National University Yangsan Hospital, Yangsan, Korea
*교신저자: 노환중, 626-770 경남 양산시 물금읍 금오로 20 양산부산대학교병원 이비인후과 전화 :(055) 360-2132·전송:(055) 360-2930 E-mail:rohhj@pusan.ac.kr

© Copyright 2014 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 30, 2014; Revised: Oct 10, 2014; Accepted: Nov 14, 2014

Published Online: May 31, 2020

ABSTRACT

A mucocele is a pseudo-cystic, epithelium-lined mucus containing lesion of the paranasal sinuses. It is caused by chronic inflammation or followed by physical or iatrogenic trauma to the lining mucosa. The frontal sinus and/or ethmoid sinus mucocles are the most frequent sinus of which endonasal endoscopic marsupialization is considered as the first choice of treatment. However, in case of frontal mucocele with lateral extension or when frontal sinus outflow tract is completely obstructed by hypertrophied mucosa or new bone formation, it is hard to open all the lesions using endonasal endoscopic approach only. We report 3 cases of frontal sinus mucocele caused by physical or iatrogenic trauma which was treated with above (trephination) and below (endonasal) approach with a literature review. (J Clinical Otolaryngol 2014;25:229-235)

Keywords: 점액낭종; 전두동; 천공술; 부비동 내시경 수술
Keywords: Mucocele; Frontal sinus; Trephination; Endoscopic sinus surgery