Nayak Dipak Ranjan, Bhandarkar Ajay M, Valiathan Manna, K Sandeep V V
Department of Otolaryngology-Head and Neck Surgery, Kasturba Medical College, Manipal, Karnataka, India.
BMJ Case Rep. 2014 Mar 31;2014:bcr2014204157. doi: 10.1136/bcr-2014-204157.
We report a case of a middle aged, hypertensive man who presented with nasal obstruction, sneezing spells, headache and nasal discharge of long duration. On evaluation, he was diagnosed to have a deviated nasal septum with allergic rhinosinusitis with sinonasal polyposis. CT of the paranasal sinuses revealed a hyperdense, oval structure suggestive of a sinolith in the right anterior ethmoid sinus. The patient underwent septoplasty with right Draf 2B procedure and extraction of the sinolith from the ethmoid sinus.
我们报告一例中年男性高血压患者,其出现鼻塞、阵发性喷嚏、头痛及长期流涕症状。经评估,诊断为鼻中隔偏曲伴变应性鼻-鼻窦炎及鼻息肉病。鼻窦CT显示右侧前筛窦有一高密度椭圆形结构,提示为鼻石。该患者接受了鼻中隔成形术及右侧Draf 2B手术,并从筛窦取出鼻石。