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目的:提高对泡性中鼻甲的临床认识。方法:报道1例伴眼眶侵犯的巨大泡性中鼻甲黏液脓囊肿患者的临床资料、手术方法及术后6个月的随访结果,对泡性中鼻甲的常见病变及相关问题进行文献复习。结果:泡性鼻甲发生黏液囊肿时常表现为中鼻甲呈球形膨大,可占据周围间隙并引起骨质压迫吸收,导致眼球移位甚至严重眼部并发症,鼻内镜下手术治疗有较好疗效。结论:泡性中鼻甲是中鼻甲常见解剖变异,较大时可引起周围组织阻塞性病变,其本身也可发生黏液囊肿及息肉等病变,黏液囊肿并发感染可形成脓囊肿,囊肿向四周膨大,可引起眼部并发症甚至颅内并发症,其发展过程一般较缓慢,及时的鼻内镜下手术对该病有良好疗效。
Objective: To improve the clinical understanding of vesicular middle turbinate. Methods: A retrospective review was conducted on the common diseases and related problems of the vesicular middle turbinate in a patient with giant vesicular middle turbinate mucoid cyst with orbital involvement. The clinical data, surgical procedures and follow-up results at 6 months after operation were reviewed. Results: Vesicular turbinate mucoceles often appear as spherical enlargement of the middle turbinate, can occupy the surrounding space and cause bone pressure absorption, resulting in eye displacement or serious eye complications, endoscopic surgical treatment has a good effect. CONCLUSIONS: Vesicular middle turbinate is a common anatomical variation of middle turbinate, which can cause obstructive lesions of the surrounding tissue when it is larger. It may also occur such as mucous cyst and polyp, and mucous cyst may be complicated with infection to form pus cyst. Can cause eye complications or even intracranial complications, the development process is generally more slow, timely endoscopic surgery has a good effect on the disease.