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Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study.

11 例婴儿先天性鼻皮样囊肿和鼻窦囊肿的诊断和治疗: consort依从性研究。

  • 影响因子:1.95
  • DOI:10.1097/MD.0000000000019435
  • 作者列表:"Ni K","Li X","Zhao L","Wu J","Liu X","Shi H
  • 发表时间:2020-05-22
Abstract

:There have been few studies on congenital nasal dermoid and sinus cysts (NDSCs) in infants.This study was performed to obtain clinical data for the diagnosis and treatment of NDSCs in infants.We performed a retrospective analysis of 11 infants admitted with NDSCs between 2014 and 2019. Patient demographics, lesion site, preoperative radiological findings, surgical technique, intraoperative findings, and postoperative sequelae were analyzed.In total, 11 infants (average age, 19 months; lowest age, 10 months) were included in this study. All patients presented with a nasal root mass, 2 patients also had nasal tip fistula, and only 1 case had a history of preoperative infection. Preoperative enhanced computed tomography (CT) examination showed nasal surface lesion (type I) in 3, nasal intraosseous (type II) in 5, intracranial epidural (type III) in 2, and intracranial dural (type IV) in 1 patient. The main surgical methods included direct resection with a vertical midline incision (9 patients), vertical incision + transnasal endoscopic resection + skull base repair (1 patient), and transverse incision of the lower margin of the left eyebrow (1 patient). All wounds healed well without serious complications.Using the 4-type classification method in combination with the preoperative CT findings to analyze the extent of NDSC in infants is helpful for formulating the surgical plan. Using vertical incision approach alone or combined with nasal endoscopy for minimally invasive surgery can meet the needs of complete resection and reconstruction.Our results provide clinical data that can help establish standardized criteria for the diagnosis and treatment of NDSCs in infants.

摘要

: 关于婴儿先天性鼻皮样囊肿和鼻窦囊肿 (NDSCs) 的研究很少。本研究旨在获得婴儿NDSCs诊断和治疗的临床资料。我们对 2014 年至 2019 年间收治的 11 例NDSCs婴儿进行了回顾性分析。分析患者人口统计学、病变部位、术前影像学检查结果、手术技术、术中检查结果和术后后遗症。本研究共纳入 11 例婴儿 (平均年龄,19 个月; 最低年龄,10 个月)。所有患者均表现为鼻根肿块,2 例患者同时出现鼻尖瘘,仅 1 例有术前感染史。术前增强计算机断层扫描 (CT) 检查显示鼻表面病变 (ⅰ 型) 3 例,鼻骨内 (ⅱ 型) 5 例,颅内硬膜外 (ⅲ 型) 2 例,和颅内硬脑膜 (IV型) 1 例。主要手术方式有垂直正中切口直接切除 (9 例) 、垂直切口 + 经鼻内镜切除 + 颅底修补术 (1 例) 、和左眉下缘横切口 (1 例患者)。所有伤口均愈合良好,无严重并发症。采用 4 型分类方法结合术前CT表现分析婴儿NDSC的范围,有助于制定手术方案。采用垂直切口入路单独或联合鼻内镜进行微创手术,可满足完整切除重建的需要。我们的结果提供了临床数据,可以帮助建立婴儿NDSCs诊断和治疗的标准化标准。

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骨肿瘤方向

骨肿瘤是发生于骨骼或其附属组织的肿瘤。有良性,恶性之分,良性骨肿瘤易根治,预后良好,恶性骨肿瘤发展迅速,预后不佳,死亡率高。

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