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异物经鼻泪管穿透鼻底

Penetrating foreign body in the nasal floor through nasolacrimal duct.

作者信息

Santoro Roberto, Mannella Valentina Katia, Freni Francesco, Galletti Francesco

机构信息

Department of Surgical Specialities, University of Messina, Messina, Italy.

出版信息

BMJ Case Rep. 2014 Jun 12;2014:bcr2013203270. doi: 10.1136/bcr-2013-203270.

Abstract

Clinical otolaryngologists frequently encounter nasal foreign bodies (FBs) particularly among children. The removal of nasal FBs is a common otolaryngological practice. However, occasionally trauma results from FBs being lodged in the nasal cavity especially through the nasolacrimal duct. In this article we present an unusual case of a FB that from the left medial canthus went inside the nasolacrimal duct, then through the inferior turbinate and stuck in the floor of the nose. We describe the transnasal endoscopic approach used and we recommend that the treatment be done as soon as possible to avoid complications.

摘要

临床耳鼻喉科医生经常遇到鼻腔异物,尤其是在儿童中。取出鼻腔异物是一种常见的耳鼻喉科操作。然而,鼻腔异物偶尔会导致创伤,特别是通过鼻泪管进入鼻腔时。在本文中,我们介绍了一个不寻常的病例,一个异物从左内眦进入鼻泪管,然后穿过下鼻甲并卡在鼻底。我们描述了所采用的经鼻内镜方法,并建议尽快进行治疗以避免并发症。

相似文献

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Penetrating foreign body in the nasal floor through nasolacrimal duct.异物经鼻泪管穿透鼻底
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Retained foreign body in nose following eye injury.眼部损伤后鼻腔异物存留。
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本文引用的文献

1
Missed diagnosis of a wooden intra-orbital foreign body.眼眶内木质异物的漏诊
Indian J Ophthalmol. 2008 Jul-Aug;56(4):322-4. doi: 10.4103/0301-4738.41416.
2
Transnasal bamboo foreign body lodged in the sphenoid sinus.经鼻进入并嵌顿于蝶窦的竹制异物。
Auris Nasus Larynx. 2001 Nov;28(4):365-7. doi: 10.1016/s0385-8146(01)00096-7.
3
Sino-orbital foreign body in a child.儿童眶内异物
Int J Pediatr Otorhinolaryngol. 2000 Apr 15;52(2):189-92. doi: 10.1016/s0165-5876(00)00284-6.
4
Numerous transorbital wooden foreign bodies in the sphenoid sinus.蝶窦内有众多经眶木质异物。
ORL J Otorhinolaryngol Relat Spec. 1999 May-Jun;61(3):165-8. doi: 10.1159/000027664.
5
Endoscopic surgery for lacrimal obstruction.泪道阻塞的内镜手术
Otolaryngol Head Neck Surg. 1991 Apr;104(4):473-9. doi: 10.1177/019459989110400408.

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