Lin Jia-Hau, Tai Chih-Feng, Lee Ka-Wo, Ho Kuen-Yao, Kuo Wen-Rei, Wang Ling-Feng
Department of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2006 Oct;22(10):524-8. doi: 10.1016/S1607-551X(09)70348-1.
Thornwaldt's bursa, also known as nasopharyngeal bursa, is a recess in the midline of the nasopharynx that is produced by persistent notochord remnants. If its opening becomes obstructed, possibly due to infection or a complication from adenoidectomy, a Thornwaldt's cyst might develop. Here, we present a 53-year-old man who complained of nasal obstruction that had progressed for 1 year. Nasopharyngoscopy showed a huge nasopharyngeal mass. Thornwaldt's cyst was suspected. Magnetic resonance imaging showed a lesion measuring 3.6 x 3.4 cm, intermediate on T1-weighted and high signal intensity on T2-weighted imaging, neither bony destruction nor connection to the brain. The patient underwent endoscopic surgery for this huge mass. Afterwards, his symptoms improved significantly. We present the treatment and differential diagnosis of a nasopharyngeal cyst.
托恩瓦尔特氏囊，也称为鼻咽囊，是鼻咽中线处的一个隐窝，由残留的脊索形成。如果其开口受阻，可能是由于感染或腺样体切除术后的并发症，可能会形成托恩瓦尔特氏囊肿。在此，我们报告一名53岁男性，他主诉鼻塞已持续1年。鼻咽喉镜检查显示鼻咽部有巨大肿物。怀疑为托恩瓦尔特氏囊肿。磁共振成像显示一个大小为3.6×3.4厘米的病变，在T1加权像上呈中等信号，在T2加权像上呈高信号，无骨质破坏，也未与脑相连。该患者接受了针对此巨大肿物的内镜手术。术后，他的症状明显改善。我们介绍了鼻咽囊肿的治疗及鉴别诊断。
