蝶窦粘液囊肿文献上记载不足70例。根据临床和X线摄片所见,常疑为颅内肿瘤。 1961年Lundgren等复习文献以及他们自己的经验共55例蝶窦粘液囊肿,有1/4经开颅术治疗,其中发生脑膜炎、脑脊液漏或死亡的占25％以上,只有9例术前确诊。蝶窦附近有十三个结构与蝶窦以薄骨片相隔。扩张的蝶窦可使这些结构受到挤压或移位。蝶窦粘液囊肿根据它扩张的方向可产生各种症状,例如:向侧方使颈动脉移位并压迫第六颅神经;向前到筛窦产生眶尖综合征。最显著和最常见的症状体征是头痛、视力视野障碍、外眼肌麻痹和眼球突出。应与颈内动脉瘤、垂体瘤、鼻窦恶性肿 Sphenoid sinus mucosa literature documented less than 70 cases. According to clinical and X-ray findings, often suspected intracranial tumors. In 1961 Lundgren and other review of literature and their own experience a total of 55 cases of sphenoid sinus cyst, 1/4 by craniotomy, in which meningitis, cerebrospinal fluid leakage or death accounted for more than 25%, only 9 cases diagnosed preoperatively . Sphenoid sinus near the thirteen structures with the sphenoid bone separated by thin slices. Expanded sphenoid sinus can squeeze or shift these structures. Sphenoid sinus mucosa according to its direction of expansion can produce a variety of symptoms, such as: lateral to the carotid artery displacement and compression of the sixth cranial nerve; forward to the ethmoid sinusoid orbital syndrome. The most significant and most common symptoms and signs are headache, visual field disorders, external ophthalmoplegia and eyeballs. Should be with the internal carotid aneurysm, pituitary tumor, sinusitis