上颌窦后鼻孔息肉合并筛骨鼻甲骨瘤：一例报告。
Antrochoanal polyp concomitant with turbinoethmoidal osteoma: A case report.
作者信息
Lee Yong Won, Kim Yong Min
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Veterans Health Service, Daejeon Hospital, Daejeon, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University, School of Medicine, Daejeon, Republic of Korea.
出版信息
Int J Surg Case Rep. 2018;43:1-3. doi: 10.1016/j.ijscr.2018.01.006. Epub 2018 Jan 28.
INTRODUCTION
Antrochoanal polyps (ACPs) have several unique features that distinguish them from other nasal polyps. Despite many investigations, the pathogenesis of ACP has not yet been elucidated. Sinonasal osteoma is the most common type of tumor of the sinonasal tract and can be caused by trauma, infection and developmental anomaly.
PRESENTATION OF CASE
We report the case of a 35-year-old man with left nasal obstruction for more than 20 years. Examination revealed ACP concomitant with an osteoma that arose from the middle turbinate and ethmoid sinus. The osteoma had an air cell in its anterosuperior area and was in a position of being pulled downward. The intranasal part of the ACP covered the posterior area of the osteoma.
DISCUSSION
Considering the radiological and surgical findings, the intranasal part of the ACP seems to have affected the turbinoethmoidal osteoma during its growth.
CONCLUSION
The authors describe a very rare condition in which an ACP was connected with a turbinoethmoidal osteoma.
引言
上颌窦后鼻孔息肉（ACPs）具有一些使其有别于其他鼻息肉的独特特征。尽管进行了许多研究，但ACPs的发病机制尚未阐明。鼻窦骨瘤是鼻窦最常见的肿瘤类型，可由创伤、感染和发育异常引起。
病例介绍
我们报告一例35岁男性，左侧鼻塞20多年。检查发现ACPs合并起源于中鼻甲和筛窦的骨瘤。骨瘤的前上方区域有气房，且处于向下牵拉的位置。ACPs的鼻内部分覆盖了骨瘤的后部区域。
讨论
综合影像学和手术结果来看，ACPs的鼻内部分在生长过程中似乎影响了筛骨鼻甲骨瘤。
结论
作者描述了一种非常罕见的情况，即ACPs与筛骨鼻甲骨瘤相连。
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