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粘液囊肿可发生在所有鼻窦内,但上颌窦粘液囊肿过去报导较少。作者报导1例并结合文献复习对本病作一概述。病人女性,61岁。有2年面痛史,X线示左上颌窦有不透光区。上颌窦冲洗时从中吸出灰白色粘液,培养无菌生长。经上述处理后疼痛缓解。2个月后左颊部麻木,经检查左眶下神经分布区痛觉缺失。断层片示左侧鼻腔外侧壁有新生物引起的破坏。施上颌窦根治术时见窦腔内有一含灰白色粘液的厚壁囊肿,摘除囊肿后见窦腔上壁、内壁和后壁骨质变薄和破坏。病理片见囊壁内衬有假复层柱状纤毛上皮及立方上皮,壁内含有浆液腺和粘液腺。病人出院后左颊部剧痛,用止痛
Mucous cysts can occur in all sinuses, but maxillary sinus mucosal cysts have been reported less frequently in the past. The authors report an example and combined with literature review of the disease made an overview. Patient female, 61 years old. 2 years history of pain, X-ray shows the left maxillary sinus opaque area. The maxillary sinus aspirated from the gray-white mucus, sterile growth. After the treatment of pain relief. Left cheek numbness after 2 months, after examination of the left infraorbital nerve distribution analgesia. Tomography showed that the left nasal cavity lateral wall with new biological damage. When maxillary sinus was applied, there was a thick cyst with gray-white mucus in the sinus cavity. After removing the cyst, see the upper wall of the sinus cavity, the thinning and destruction of the inner and the posterior wall. Pathological see the wall lined with pseudostratified columnar ciliated epithelium and cubic epithelium, the wall contains serous glands and mucus gland. After the patient left the left cheek pain, with painkillers