摘要
目的：探讨鼻前庭囊肿的发生机制及临床表现。方法：回顾地分析42例鼻前庭囊肿的临床表现、病理学检查和手术治疗效果。结果：42例鼻前庭囊肿被覆上皮类型中，24例为假复层柱状上皮，5例为复层鳞状上皮，5例为单层立方上皮，8例为其中2种上皮的混合；23例发现有杯状细胞。所有病例均经唇龈沟进路手术切除，随访6个月～10年未见复发。结论：鼻泪管系统的发育异常在鼻前庭囊肿的发生机制中可能起主要作用。手术治疗鼻前庭囊肿时，彻底切除较内镜下开窗引流更为合理。
Objective：To investigate the pathogenesis of nasal vestibular cyst. Method：Forty two case of nasal vestibular cyst were retrospectively analyzed, including clinical manifestation, pathological findings, surgical therapy efficacy. Result：Of these 42 cases of the type of lining epithelia, pseudostratified columnar epithelium was identified in 24 cases, stratified squamous epithelium in five cases,simple cuboidal epithelium in five cases, and two kinds of above mentioned epithelia in eight cases. Goblet cells were present in 23 cases. Surgical excision was performed via the labiogingival groove approach for all patients. The duration of follow-up ranged from 6 months to 10 years.No postoperative recurrences were found. Conclusion： The abnormal development of nasolacrimal duct systems may take an important role in the pathogenesis of nasal vestibular cyst. According to this, we considered the total excision via the sublabial approach is more reasonable surgery than endoscopic marsupialization, but it is need further observation.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2007年第2期82-83,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻前庭囊肿
病因学
Nasal vestibular cyst
Pathogenesis
