目的：分析内镜下3种不同手术方法治疗鼻腔鼻窦内翻性乳头状瘤（IP）的效果，为正确选择手术方法提供依据。方法回顾性分析2006年6月至2013年6月我院诊治的22例IP患者的临床资料。根据Krouse（2000）分级标准进行临床分级， T 1期4例，T...目的：分析内镜下3种不同手术方法治疗鼻腔鼻窦内翻性乳头状瘤（IP）的效果，为正确选择手术方法提供依据。方法回顾性分析2006年6月至2013年6月我院诊治的22例IP患者的临床资料。根据Krouse（2000）分级标准进行临床分级， T 1期4例，T2期6例，T3期12例；随访6个月～7年。结果全部病例均在鼻内镜下或鼻内镜联合鼻外入路下完整切除肿瘤，并发症少。总复发率为13．63％（3/22）；单纯鼻内镜手术10例，1例复发，复发率10．00％（1/10）；鼻内镜下泪前隐窝入路7例，1例复发，复发率14．29％（1/7）；鼻内镜联合Caldwell-luc入路5例，1例复发，复发率为20．00％（1/5）。结论鼻内镜下手术治疗IP是安全、有效、微创的方法，对于T 1、T2期I P可采用单纯鼻内镜手术，对于累及上颌窦的T3期病变，鼻内镜下泪前隐窝入路和鼻内镜联合Caldwell-luc入路，疗效相似，但泪前隐窝入路创伤更小、并发症更少。展开更多
Dermoid cysts are benign tumors originating from germ cells, which can form in various locations, including the nasal area in rare cases. They are of unknown exact etiology, but it is suggested that it is due to abnor...Dermoid cysts are benign tumors originating from germ cells, which can form in various locations, including the nasal area in rare cases. They are of unknown exact etiology, but it is suggested that it is due to abnormal tissue migration during early embryonic development. Nasal dermoid cysts albeit rare, can present in various forms such as sinuses, fistulas, or intracranially extending tracts. They can be asymptomatic and incidentally discovered or present with a visible external mass or sinus that is either painful, infected or cosmetically concerning. If nasal dermoid cysts with an intra-nasal bone sinus tract are left untreated, they can lead to life-threatening complications. This report describes the case of a 6-year-old girl with a nasal dermoid cyst connected to a superficial punctum by an intra-nasal tract. She had undergone surgical excision of a nasal swelling previously diagnosed as a dermoid cyst. One year later, she returned to our clinic with a recurrence of the nasal swelling. Imaging tests revealed a nasal dermoid cyst with a tract extending to the nasal tip, without intracranial expansion. The cyst, along with the entire tract, was successfully removed surgically, and the postoperative follow-up indicated no complications. Histopathology confirmed the diagnosis of a dermoid cyst. This case underscores the significance of considering the dermoid tract in nasal cyst cases and the necessity of its complete removal to prevent recurrence.展开更多
BACKGROUND Primary nasal tuberculosis(TB)is a rare form of extrapulmonary TB,particularly in patients receiving anti-tumor necrosis factor(TNF)immunotherapy.As a result,its diagnosis remains challenging.CASE SUMMARY A...BACKGROUND Primary nasal tuberculosis(TB)is a rare form of extrapulmonary TB,particularly in patients receiving anti-tumor necrosis factor(TNF)immunotherapy.As a result,its diagnosis remains challenging.CASE SUMMARY A 58-year-old male patient presented to the ear,nose,and throat department with right-sided nasal obstruction and bloody discharge for 1 month.He was diagnosed with psoriatic arthritis and received anti-TNF immunotherapy for 3 years prior to presentation.Biopsy findings revealed chronic granulomatous inammation and a few acid-fast bacilli,suggestive of primary nasal TB.He was referred to our TB management department for treatment with oral anti-TB agents.After 9 months,the nasal lesions had disappeared.No recurrence was noted during follow-up.CONCLUSION The diagnosis of primary nasal TB should be considered in patients receiving TNF antagonists who exhibit thickening and crusting of the nasal septum mucosa or inferior turbinate,particularly when pathological findings suggest granulomatous inflammation.展开更多
文摘目的：分析内镜下3种不同手术方法治疗鼻腔鼻窦内翻性乳头状瘤（IP）的效果，为正确选择手术方法提供依据。方法回顾性分析2006年6月至2013年6月我院诊治的22例IP患者的临床资料。根据Krouse（2000）分级标准进行临床分级， T 1期4例，T2期6例，T3期12例；随访6个月～7年。结果全部病例均在鼻内镜下或鼻内镜联合鼻外入路下完整切除肿瘤，并发症少。总复发率为13．63％（3/22）；单纯鼻内镜手术10例，1例复发，复发率10．00％（1/10）；鼻内镜下泪前隐窝入路7例，1例复发，复发率14．29％（1/7）；鼻内镜联合Caldwell-luc入路5例，1例复发，复发率为20．00％（1/5）。结论鼻内镜下手术治疗IP是安全、有效、微创的方法，对于T 1、T2期I P可采用单纯鼻内镜手术，对于累及上颌窦的T3期病变，鼻内镜下泪前隐窝入路和鼻内镜联合Caldwell-luc入路，疗效相似，但泪前隐窝入路创伤更小、并发症更少。
文摘Dermoid cysts are benign tumors originating from germ cells, which can form in various locations, including the nasal area in rare cases. They are of unknown exact etiology, but it is suggested that it is due to abnormal tissue migration during early embryonic development. Nasal dermoid cysts albeit rare, can present in various forms such as sinuses, fistulas, or intracranially extending tracts. They can be asymptomatic and incidentally discovered or present with a visible external mass or sinus that is either painful, infected or cosmetically concerning. If nasal dermoid cysts with an intra-nasal bone sinus tract are left untreated, they can lead to life-threatening complications. This report describes the case of a 6-year-old girl with a nasal dermoid cyst connected to a superficial punctum by an intra-nasal tract. She had undergone surgical excision of a nasal swelling previously diagnosed as a dermoid cyst. One year later, she returned to our clinic with a recurrence of the nasal swelling. Imaging tests revealed a nasal dermoid cyst with a tract extending to the nasal tip, without intracranial expansion. The cyst, along with the entire tract, was successfully removed surgically, and the postoperative follow-up indicated no complications. Histopathology confirmed the diagnosis of a dermoid cyst. This case underscores the significance of considering the dermoid tract in nasal cyst cases and the necessity of its complete removal to prevent recurrence.
基金Supported by Department of Health of Zhejiang Province,No.2019-KY1-001-138Zhejiang Provincial Natural Science Foundatio,No.LTGY24H160016。
文摘BACKGROUND Primary nasal tuberculosis(TB)is a rare form of extrapulmonary TB,particularly in patients receiving anti-tumor necrosis factor(TNF)immunotherapy.As a result,its diagnosis remains challenging.CASE SUMMARY A 58-year-old male patient presented to the ear,nose,and throat department with right-sided nasal obstruction and bloody discharge for 1 month.He was diagnosed with psoriatic arthritis and received anti-TNF immunotherapy for 3 years prior to presentation.Biopsy findings revealed chronic granulomatous inammation and a few acid-fast bacilli,suggestive of primary nasal TB.He was referred to our TB management department for treatment with oral anti-TB agents.After 9 months,the nasal lesions had disappeared.No recurrence was noted during follow-up.CONCLUSION The diagnosis of primary nasal TB should be considered in patients receiving TNF antagonists who exhibit thickening and crusting of the nasal septum mucosa or inferior turbinate,particularly when pathological findings suggest granulomatous inflammation.
