多学科的方法来治疗严重的内,内过敏性真菌鼻炎
Courtney B Shires1, John D Boughter2, Steven Cox3
1West Cancer Center, Germantown, TN, USA.
American journal of otolaryngology
|August 4, 2024
概括
广泛的过敏性真菌鼻炎 (AFS) 涉及骨底部和轨道,需要多学科的手术方法. 这种破坏性疾病最常见的是影响年轻的,没有保险的非洲裔美国男性,出现头痛和鼻腔阻塞.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 过敏和免疫学 过敏和免疫学
背景情况:
- 过敏性真菌鼻炎 (AFS) 是鼻的真菌感染,其特点是骨破坏和潜在扩展到邻近的结构,如轨道和骨底部.
- 虽然已经记录了内和内AFS,但同时涉及一系列患有广泛疾病的患者需要进一步调查.
研究的目的:
- 审查广泛的过敏性真菌鼻炎 (AFS) 与轨道和/或头骨底部侵蚀的病例.
- 分析表现症状,患者人口统计,社会经济背景,成像发现,手术技术和广泛AFS患者的术后结果.
主要方法:
- 对30名被诊断患有AFS的患者进行了回顾性审查,并证实了内和脑内内参与.
- 分析临床数据,包括症状,社会经济因素,计算机断层扫描 (CT) 扫描和外科手术 (过鼻内镜方法,轨道切割,双额头骨切割).
主要成果:
- 研究人口包括年轻人 (平均年龄25.2岁),主要是非洲裔美国男性 (70%),医疗补助或缺乏保险率高 (66%).
- 常见的症状包括头痛 (80%) 和鼻腔阻塞 (33%),100%的患者在CT扫描上显示骨质侵蚀扩展到内和内.
- 所有患者都未能接受医疗治疗,并接受多学科手术;80%的患者需要双额头骨切割. 没有发生术后脑脊髓液泄漏,平均住院时间为4.8天.
结论:
- 涉及耳鼻喉科,眼科和神经外科的协作方法对于管理广泛的AFS至关重要.
- 经鼻腔内镜技术,结合轨道切除和切除,是有效的严重病例与内和内延伸.
- AFS在年轻,保险不足的非洲裔美国男性中最为普遍,通常会出现头痛和鼻腔阻塞.
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