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一块遗留在鼻咽部的纱布:腺样体扁桃体切除术后的不幸并发症。

A forgotten gauze pack in the nasopharynx: an unfortunate complication of adenotonsillectomy.

作者信息

Ozer Cem, Ozer Fulya, Sener Mesut, Yavuz Haluk

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.

出版信息

Am J Otolaryngol. 2007 May-Jun;28(3):191-3. doi: 10.1016/j.amjoto.2006.07.009.

Abstract

A case of a foreign body lodged in the nasopharynx for a long time as a complication of adenotonsillectomy is presented. The patient was an 11-year-old boy admitted with nasal obstruction and bilateral foul-smelling purulent rhinorrhea. The diagnosis was confirmed with nasal endoscopy. Immediate removal of foreign body in the nasopharynx was performed under general anesthesia. Although foreign bodies lodged into the nasopharynx are rare, they may cause serious and even fatal complications. A high index of suspicion, particularly for persistent symptoms, is essential and necessitates further investigation before diagnosis of a case of rhinosinusitis or empirically prescribing antibiotics.

摘要

本文报告一例因腺样体扁桃体切除术后并发症导致异物长期存留于鼻咽部的病例。患者为一名11岁男孩,因鼻塞和双侧恶臭脓性鼻漏入院。鼻内镜检查确诊了病情。在全身麻醉下立即取出了鼻咽部的异物。尽管异物存留于鼻咽部的情况罕见,但可能会导致严重甚至致命的并发症。高度的怀疑指数,尤其是对于持续性症状,至关重要,并且在诊断鼻窦炎病例或经验性使用抗生素之前有必要进行进一步检查。

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