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鼻结石症:一种易误导人的病症。

Rhinolithiasis: A Misleading Entity.

作者信息

Adib Hayat, Natout Mohamad Ali El, Zaytoun Georges, Hadi Usamah Al

机构信息

Department of Otolaryngology Head - Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.

出版信息

Allergy Rhinol (Providence). 2018 Sep 12;9:2152656718783596. doi: 10.1177/2152656718783596. eCollection 2018 Jan-Dec.

Abstract

INTRODUCTION

Rhinolithiasis is a rare entity; it entails a stone located in the nasal cavity. The entity presents with different signs and symptoms that can be easily confused with other more common clinical entities such as chronic rhinosinusitis. However, it can also mimic sinonasal tumors, making its proper diagnosis crucial.

MATERIALS AND METHODS

In this article, we present a case series of 15 patients over the past 13 years between 2002 and 2015 who were seen in the clinics at the American University of Beirut Medical Center. We will shed light on the common presenting symptoms, physical examination findings, proper diagnostic modalities, and treatment options. Our data will be compared to the literature.

CONCLUSION

Rhinolithiasis could present with a wide spectrum of signs and symptoms and could be overlooked or mistaken for other diagnosis such as sinusitis or malignancy. It could be differentiated from other entities by rigid nasal endoscopy and computed tomography scan. The diagnosis of rhinolithiasis requires a high index of suspicion.

摘要

引言

鼻石症是一种罕见病症,指鼻腔内存在结石。该病症呈现出不同的体征和症状,很容易与其他更常见的临床病症(如慢性鼻-鼻窦炎)相混淆。然而,它也可能类似鼻窦肿瘤,因此正确诊断至关重要。

材料与方法

在本文中,我们呈现了2002年至2015年这13年间在美国贝鲁特美国大学医疗中心门诊就诊的15例患者的病例系列。我们将阐明常见的症状表现、体格检查结果、正确的诊断方法以及治疗选择。我们的数据将与文献进行比较。

结论

鼻石症可能呈现出广泛的体征和症状,可能被忽视或误诊为鼻窦炎或恶性肿瘤等其他疾病。通过硬性鼻内镜检查和计算机断层扫描可以将其与其他病症区分开来。鼻石症的诊断需要高度的怀疑指数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4238/6137551/30f1751e1f37/10.1177_2152656718783596-fig1.jpg

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