Vedasalam S, Sipaul F, Hill A, Porter G
ENT Department, United Bristol Healthcare NHS Trust, Bristol, UK.
BMJ Case Rep. 2010 Sep 9;2010:bcr0420102911. doi: 10.1136/bcr.04.2010.2911.
A 20-year-old woman who was fit and well presented with a history of left nasal blockage for 2 years. She was noted on anterior rhinoscopy to have nasal septal deviation towards the left. She was listed for septoplasty with the aim of relieving nasal obstruction. At operation she was found to have a mildly deviated septum to the left. There was also a rhinolith in the left nostril posterior to the deviated septum (figure 1). Following removal of the rhinolith, her nasal airway appeared adequate; hence, septoplasty was not performed. Postoperatively, the patient was pleased with the outcome. When the patient was shown the foreign body she recalled inserting a pen cover into her nose about 10 years previously (figure 2). When she presented to the Accident and Emergency department at that time she was told that there was no foreign body in her nose.
一名20岁身体健康的女性，有2年左侧鼻塞病史。前鼻镜检查发现她鼻中隔向左侧偏曲。她被安排进行鼻中隔成形术，目的是缓解鼻塞。手术中发现她的鼻中隔轻度向左偏曲。在偏曲的鼻中隔后方的左侧鼻孔还有一颗鼻石（图1）。取出鼻石后，她的鼻腔气道看起来通畅；因此，未进行鼻中隔成形术。术后，患者对结果感到满意。当向患者展示异物时，她回忆起大约10年前曾将笔帽插入鼻子（图2）。当时她去急诊室就诊时，被告知鼻子里没有异物。
