Uğur M Birol, Evren Cenk, Corakçi Serkan, Taş Ebru, Cinar Fikret
Department of Otolaryngology, Medicine Faculty of Zonguldak Karaelmas University, Zonguldak, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2009 Nov-Dec;19(6):307-10.
Diagnosis of foreign body in the nasal cavity may be difficult because it has a wide variety of presentations. Concha bullosa is defined as the pneumatization of the middle concha in various degrees. A 43-year-old female patient was admitted to our clinic with the complaint of breathing difficulty through her right nostril which had been going on for the last year. She had had some medical treatments previously in some different medical centers, there wasn't purulent discharge with unpleasant odour, bleeding and halitosis in the nose and there wasn't a history of a blow to the nose or a history of previous facial, nasal or dental surgery. In the computed tomography there was an image resembling concha bullosa. Transnasal endoscopic approach was used, under general anesthesia, in the patient, whose physical examination results, laboratory findings and allergy test results were normal. Endoscopic sinus surgery was performed including polypectomy, right uncinektomy and the foreign body was removed from the middle meatus using a forceps. No complications were observed in the follow-up control one month later.
鼻腔异物的诊断可能很困难，因为其表现形式多种多样。泡状鼻甲被定义为中鼻甲不同程度的气化。一名43岁女性患者因右侧鼻孔呼吸困难持续一年而入住我院。她之前在一些不同的医疗中心接受过一些治疗，鼻腔没有脓性分泌物、异味、出血和口臭，也没有鼻部外伤史或既往面部、鼻腔或牙科手术史。计算机断层扫描显示有类似泡状鼻甲的图像。该患者体格检查结果、实验室检查结果和过敏试验结果均正常，在全身麻醉下采用经鼻内镜入路。进行了包括息肉切除术、右侧钩突切除术在内的鼻内镜鼻窦手术，并用镊子从中鼻道取出异物。一个月后的随访检查未观察到并发症。
