在头面部受伤后,鼻腔中的异常异物
概括
一种罕见的眼镜镜片状烯酸轨道植入物脱落,导致慢性鼻腔症状的罕见病例通过内镜手术成功被切除. 这一发现解决了长期存在的性分泌物和68岁男性患者鼻腔阻塞的问题.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 眼科医生 眼科 眼科
背景情况:
- 慢性鼻腔症状,包括性分泌物和通风障碍,诊断可能具有挑战性.
- 在持续性鼻腔阻塞和泄漏的情况下,有时会怀疑鼻内瘤.
- 轨道创伤和手术的延迟并发症可能会在几年后出现.
研究的目的:
- 报告一种罕见的轨道植入物脱离,导致慢性鼻腔症状的罕见病例.
- 要突出诊断在识别异物在鼻腔内的挑战.
- 为了证明内镜手术在处理复杂的鼻内外体方面的有效性.
主要方法:
- 从鼻腔中切除异物体的内镜外科摘取.
- 审查患者的病史和之前的手术干预.
- 慢性鼻腔症状的诊断工作,包括先前的内镜检查.
主要成果:
- 一个眼镜镜片形的烯酸轨道植入物,在35年前的面部骨折修复后脱落,被识别并移除.
- 患者经历了慢性性鼻水的消失,并在术后改善了鼻腔通风.
- 之前的调查曾怀疑存在鼻内瘤,但在组织学上没有得到证实.
结论:
- 脱离的轨道植入物可能是慢性鼻症状的罕见原因.
- 内镜内鼻外科手术是一种有效的方法,用于去除深受影响的鼻内异物.
- 详细的病史对于诊断慢性鼻腔病情的不寻常原因至关重要.
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