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一名患者在另一个泡状鼻甲中出现泡状鼻甲:病例报告。

A patient presenting with concha bullosa in another concha bullosa: a case report.

作者信息

Cukurova Ibrahim, Yaz Aytekin, Gumussoy Murat, Yigitbasi Orhan G, Karaman Yucel

机构信息

Department of Otolaryngology and Neck and Head Surgery, The Ministry of Health Izmir Tepecik Training and Research Hospital, 35170, Izmir, Turkey.

出版信息

J Med Case Rep. 2012 Mar 26;6:87. doi: 10.1186/1752-1947-6-87.

DOI:10.1186/1752-1947-6-87
PMID:22448660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3338398/
Abstract

INTRODUCTION

Anatomic variations of the paranasal sinuses are very common. The paranasal sinus anatomy should be carefully examined prior to performing endoscopic sinus surgery in terms of both existent pathologies and anatomic variations. The anatomy of the paranasal sinuses and its variations have gained importance, along with advances in coronal paranasal sinus computed tomography and extensive use of endoscopic sinus surgery.

CASE PRESENTATION

A 53-year-old Caucasian woman was admitted to our clinic with complaints of nasal breathing difficulties and headache persisting for a long time. Another concha bullosa was detected in the middle concha bullosa on preoperative paranasal computed tomography examination. It is known that the paranasal sinuses have a number of anatomical variations.

CONCLUSION

Herein we report a rare case, along with a review of the literature, to emphasize that a concha bullosa inside another concha bullosa should not be ignored.

摘要

引言

鼻窦的解剖变异非常常见。在进行鼻内镜鼻窦手术前,应仔细检查鼻窦解剖结构,包括现存的病理状况和解剖变异。随着冠状位鼻窦计算机断层扫描技术的进步以及鼻内镜鼻窦手术的广泛应用,鼻窦的解剖结构及其变异变得愈发重要。

病例介绍

一名53岁的白种女性因长期存在鼻呼吸困难和头痛症状入住我院。术前鼻窦计算机断层扫描检查发现中鼻甲泡内存在另一个鼻甲泡。已知鼻窦存在多种解剖变异。

结论

在此,我们报告一例罕见病例,并对相关文献进行综述,以强调不应忽视一个鼻甲泡内存在另一个鼻甲泡的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6e5/3338398/b4d7ea22940d/1752-1947-6-87-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6e5/3338398/0a92590185fe/1752-1947-6-87-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6e5/3338398/b4d7ea22940d/1752-1947-6-87-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6e5/3338398/0a92590185fe/1752-1947-6-87-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6e5/3338398/b4d7ea22940d/1752-1947-6-87-2.jpg

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本文引用的文献

1
A case of an uncommon anatomic variation of the middle turbinate associated with headache.一个与头痛有关的中鼻甲解剖变异的罕见病例。
Acta Otorhinolaryngol Ital. 2010 Jun;30(3):156-9.
2
Concha bullosa and septal deviation.泡状鼻甲和鼻中隔偏曲。
Eur Arch Otorhinolaryngol. 2010 Sep;267(9):1397-401. doi: 10.1007/s00405-010-1228-9. Epub 2010 Mar 20.
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Association of inferior turbinate enlargement, concha bullosa and nasal valve collapse with the convexity of septal deviation.
沙特人群中甲介泡解剖变异的患病率及其与鼻窦炎的关系:一项计算机断层扫描研究。
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Anatomic risk factors for sinus disease: fact or fiction?鼻窦疾病的解剖学危险因素:事实还是虚构?
Am J Rhinol. 2005 Jul-Aug;19(4):334-9.
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The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease.泡状鼻甲的发病率及其与鼻中隔偏曲和鼻窦疾病的关系。
AJNR Am J Neuroradiol. 2004 Oct;25(9):1613-8.
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The correlation between septal deviation and concha bullosa.鼻中隔偏曲与泡状鼻甲之间的相关性。
Otolaryngol Head Neck Surg. 2003 Jul;129(1):33-6. doi: 10.1016/S0194-59980300479-0.
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The relationship between the concha bullosa, nasal septal deviation and sinusitis.泡状鼻甲、鼻中隔偏曲与鼻窦炎之间的关系。
Rhinology. 2003 Jun;41(2):103-6.
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The bulla ethmoidalis: lamella or a true cell?筛泡:薄板还是真正的气房?
J Otolaryngol. 2001 Jun;30(3):162-6. doi: 10.2310/7070.2001.20206.
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An anatomic classification of the ethmoidal bulla.筛泡的解剖学分类。
Otolaryngol Head Neck Surg. 2001 Dec;125(6):598-602. doi: 10.1067/mhn.2001.120398.
10
The role of the ostiomeatal unit anatomic variations in inflammatory disease of the maxillary sinuses.上颌窦炎性疾病中窦口鼻道复合体解剖变异的作用。
Eur J Radiol. 1997 May;24(3):172-4. doi: 10.1016/s0720-048x(96)01073-x.