二次性到双边的双边缩性体部腺炎
Rehman Basharat1, Alexander Bjorling1, Ghassan Samara1
1Otolaryngology, Stony Brook University, New York, USA.
Cureus
|July 31, 2024
概括
这份病例报告强调了一种罕见的腺炎原因:大骨 (TM) 的扩大. 通过手术切除TM和内镜,患者的症状得到了缓解,强调了腺炎的机械因素.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 口腔和牙面部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 唾液腺炎是唾液腺炎,通常是由感染或阻塞引起的.
- 骨 (Toros mandibularis,TM) 是下上的骨生长,通常没有症状.
- 扩大的TM很少会导致唾液管的机械阻塞.
研究的目的:
- 报告一种罕见的二次性西拉丁炎病例,该病例是双边过度增强的门.
- 为了说明这种解剖学异常所带来的诊断和治疗挑战.
- 强调在腺炎中考虑机械病因的重要性.
主要方法:
- 一个70岁的男性的病例报告,他的部胀,消化不良和体重减轻.
- 放射评估包括CT扫描来评估TM和沃顿的管道.
- 多模式治疗包括抗生素,类固醇,静脉同类药物,手术切除TM和静脉内镜.
主要成果:
- 发现双边超的下巴 (TM) 阻塞了沃顿的管道.
- 在被堵塞的管道内发现了一个sialolith.
- 手术后实现了症状缓解和腺炎的消失.
结论:
- 双下巨增长可能是一个罕见的机械原因的sialadenitis.
- 及时诊断和手术干预对于管理TM诱导的腺炎至关重要.
- 对解剖学异常的识别对于治疗复杂的腺炎病例至关重要.
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