小児に発生した原発性前頭洞・篩骨洞囊胞例

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  • 原口 めぐみ
    霧島市立医師会医療センター耳鼻咽喉科・頭頸部外科 鹿児島大学大学院医歯学総合研究科先進治療科学専攻感覚器病学耳鼻咽喉科・頭頸部外科
  • 井内 寛之
    霧島市立医師会医療センター耳鼻咽喉科・頭頸部外科 鹿児島大学大学院医歯学総合研究科先進治療科学専攻感覚器病学耳鼻咽喉科・頭頸部外科
  • 山下 勝
    鹿児島大学大学院医歯学総合研究科先進治療科学専攻感覚器病学耳鼻咽喉科・頭頸部外科

書誌事項

タイトル別名
  • A Case of Primary Frontal Sinus and Ethmoid Sinus Cyst in a Child
  • ショウニ ニ ハッセイ シタ ゲンパツセイ ゼントウドウ ・ フルイホネドウノウホウレイ

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<p>Sinus cysts are epithelial cysts that contain thick mucus and are thought to be primarily caused by obstruction of the natural ostium of the sinus.</p><p>These cysts occur after sinus surgery in most cases, and primary sinus cysts are relatively rare, with only sporadic reports of their occurrence in children.</p><p>We treated a 12-year-old boy with a primary frontal sinus/ethmoid sinus cyst who visited our hospital with a history of headache, but no other symptoms such as proptosis or upper eyelid swelling. He had severe headaches and had been taking analgesics daily, so that we exteriorized the cyst via under an endonasal approach using an endoscope and drained yellowish effusion from the cyst.</p><p>Removal of the cyst wall revealed a single cavity up to the frontal sinus, so that we did not touch the frontal sinus. Pediatric endoscopic sinus surgery is necessary to set the surgical method and surgical scope taking into consideration the stage of growth.</p><p>If age-appropriate settings are made, subjective symptoms can be expected to improve. In this case, the headache disappeared immediately after the surgery, and no recurrence has been observed until date.</p>

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