脊椎外科手术后的大鼻炎:它应该被认为是牙性鼻炎吗?
Giorgio Imbrogno1, Andrea Lorenzi2, Roberto Borloni1
1Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences Università Degli Studi di Milano Milan Italy.
Clinical case reports
|December 2, 2024
概括
大鼻炎可以发生几十年后 orthognathic 手术,即使没有症状. 保留的手术器械可能会导致慢性感染和真菌球形成,需要移除.
科学领域:
- 口腔和牙面部外科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
背景情况:
- 大鼻炎是牙科手术的已知并发症.
- 它的发生发生后的整形手术,像勒福特骨切除术,是不太记录的.
- 慢性鼻炎可能与保留的外科硬件有关.
研究的目的:
- 在整形外科手术后报告晚发性大鼻炎病例.
- 调查保留硬件在慢性鼻感染中的作用.
- 突出这些病例的诊断和管理考虑.
主要方法:
- 一个58岁的女性患者的病例报告.
- 计算机断层扫描 (CT) 扫描偶然的鼻模糊.
- 鼻腔内镜和内镜鼻腔外科手术 (ESS).
- 在手术期间去除性物质,真菌碎片和保留的硬件.
- 细菌和真菌培养. 细菌和真菌培养.
主要成果:
- 一边大鼻炎诊断23年后的orthognathic手术.
- 偶然的CT检测发现了鼻模糊.
- ESS揭示了,真菌碎片,并通过真菌球证实了细菌性鼻炎.
- 培养物确定了 *S. salivarius* 和 *Klebsiella* 的物种.
- 在移除硬件后,患者的情况有所改善.
结论:
- 大鼻炎可能在经过整形手术后很长时间表现出来,可能与保留的硬件有关.
- 对于患有鼻腔症状和手术史的患者来说,彻底的成像和内镜评估至关重要.
- 需要进一步研究管理硬件相关的鼻炎和真菌球形成.
关键词:
牙科硬件感染 牙科硬件感染内镜内腔外科手术是指内镜外科手术.球球是一种真菌球.牙引起的鼻炎 (odontogenic sinusitis) 是一种引起鼻炎的疾病.整形手术并发症 整形手术并发症更多相关视频
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