由于保留的木制异体而导致的慢性大鼻炎:一个病例报告
Chenyang Xu1,2, Jieyu Hu1, Xiaowen Liu2,3
1Department of Otolaryngology-Head and Neck Surgery, Maternal and Child Health Hospital of Gansu Province, Lanzhou, China.
Ear, nose, & throat journal
|May 16, 2025
概括
在大鼻腔中诊断保留的木质异物是具有挑战性的. 电磁导航引导的内镜外科手术 (ENG-ESS) 精确地移除了一个长期存在的木制碎片,解决了慢性感染.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗成像医学成像
- 手术导航 手术导航
背景情况:
- 在上鼻腔中保留的木质异物,由于辐射密度低,会给诊断和治疗带来挑战.
- 在成像上模仿真菌感染使诊断复杂化,特别是长时间的延迟.
- 这一案例凸显了先进的外科导航在处理如此复杂的病例中的实用性.
研究的目的:
- 为了呈现一个长期潜伏的木质异体在上鼻的病例,最初被误诊为真菌鼻炎.
- 为了证明电磁导航引导的内镜鼻手术 (ENG-ESS) 在管理复杂的异物清除方面的有效性.
- 提出诊断和治疗类似耐火病例的框架.
主要方法:
- 一名31岁的男性患有反复出现的阴道外和面部胀,被误诊为真菌性鼻炎.
- 最初的治疗方法,包括液排水和内镜鼻腔化,都没有成功.
- 电磁导航引导内镜外科手术 (ENG-ESS) 用于定位和移除5年保留的木制碎片.
主要成果:
- 患者出现了模仿慢性鼻炎和的症状.
- 在大鼻腔中发现了一块4.5厘米长的木片,保留了5年.
- ENG-ESS成功地定位并移除了残留的碎片,导致感染和症状完全消失.
结论:
- 上鼻腔中的木质外体可能被误诊,强调需要彻底的创伤史和先进的成像.
- ENG-ESS为导航复杂的鼻解剖学提供了卓越的精度,并最大限度地减少了残留异物所引起的并发症.
- 建议以创伤史为指导的动态成像导航手术框架来管理长期潜伏,耐火病例.
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