Jadia Shalini, Goyal Rashmi, Biswas Rakesh
Peoples Medical College and Research Center, Otolaryngology, Bhanpur Road, Bhopal (MP), Bhopal, 462037, India.
BMJ Case Rep. 2010 Apr 12;2010:bcr12.2009.2578. doi: 10.1136/bcr.12.2009.2578.
Sphenochoanal polyp is a rare form of choanal polyp. As the name suggests, it originates from the sphenoid sinus and extends down the choana and nasopharynx. If wrongly diagnosed as an antrochoanal polyp, it can lead to unnecessary exploration of the maxillary sinus and incomplete removal of the sphenoid component of polyp. Here we report a case of 40-year-old woman who presented with history of progressive left nasal obstruction and mass in the oropharynx. A diagnosis of sphenochoanal polyp was made on the basis of nasal endoscopy and computed tomography scan. The polyp was removed endoscopically. We discuss the clinical presentation, management and review of the literature of this clinically mistaken entity.
蝶筛后鼻孔息肉是后鼻孔息肉的一种罕见类型。顾名思义，它起源于蝶窦，并向下延伸至后鼻孔和鼻咽部。如果被误诊为上颌后鼻孔息肉，可能会导致对上颌窦进行不必要的探查，以及息肉蝶窦部分切除不完全。在此，我们报告一例40岁女性患者，她有进行性左侧鼻塞及口咽部肿物的病史。根据鼻内镜检查和计算机断层扫描做出了蝶筛后鼻孔息肉的诊断。通过内镜切除了息肉。我们讨论了这种临床易误诊疾病的临床表现、治疗及文献复习。
