Department of Diagnostic Radiology, Mansoura Faculty of Medicine, Egypt.
Br J Radiol. 2012 Dec;85(1020):1551-5. doi: 10.1259/bjr/15189057. Epub 2012 Aug 16.
We review the appearance of scleroma in the head and neck on imaging. Scleroma is a chronic granulomatous disease that primarily affects the nasal cavity, but the pharynx and larynx may also be involved. On imaging, nasal scleroma appears as bilateral or unilateral expanded homogeneous nasal masses that may exhibit hyperintense signal on T(1) weighted images. Pharyngeal scleroma commonly narrows the pharyngeal lumen and may involve the soft and hard palate. Imaging is essential to detect the extent of subglottic stenosis in patients with laryngeal scleroma. Rarely, scleroma may involve the orbit or the middle ear. Imaging is essential for the early diagnosis of scleroma and for differentiating it from other granulomatous and neoplastic lesions. Also, imaging is important for treatment planning and follow-up of patients after therapy.
我们回顾了头颈部硬结病的影像学表现。硬结病是一种慢性肉芽肿性疾病，主要影响鼻腔，但咽和喉也可能受累。在影像学上，鼻腔硬结病表现为双侧或单侧扩展的均匀性鼻肿块，T1 加权图像上可能呈高信号。咽硬结病常使咽腔变窄，并可累及软腭和硬腭。影像学对检测喉硬结病患者的声门下狭窄程度至关重要。硬结病很少累及眼眶或中耳。影像学对硬结病的早期诊断和鉴别诊断其他肉芽肿性和肿瘤性病变非常重要。此外，影像学对治疗计划和治疗后患者的随访也很重要。
