Monteiro Francisco, Oliveira Pedro, Condé Artur
Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Center of Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, S/N, 4434-502 Vila Nova de Gaia, Portugal.
Case Rep Otolaryngol. 2019 Jan 6;2019:4386938. doi: 10.1155/2019/4386938. eCollection 2019.
The occurrence of foreign bodies in paranasal sinuses is extremely rare. The symptoms are vague and usually discovered after extra/intracranial complications. They may, therefore, go unnoticed if there isn't a strong clinical suspicion. We present a clinical case of a 64-year-old woman with a paranasal sinus microsurgery history more than 30 years ago, who presented with headache and purulent rhinorrhea. A glass tubular structure was discovered in the ethmoid complex. She underwent functional endoscopic sinus surgery. Since glass is an inert material that doesn't cause foreign body reaction, the patient may not present any symptom or sign. However, if there is obstruction in the drainage of the ostiomeatal complex, it can manifest itself as rhinosinusitis, which we believe happened in our case. To the best of our knowledge, this is probably the first reported case of a glass removed from the ethmoidal sinuses, diagnosed with more than 30 years of evolution.
鼻窦异物的发生极为罕见。症状不明确，通常在出现颅外/颅内并发症后才被发现。因此，如果没有强烈的临床怀疑，它们可能会被忽视。我们报告一例临床病例，患者为一名64岁女性，30多年前有鼻窦显微手术史，现出现头痛和脓性鼻漏。在筛窦复合体中发现了一个玻璃管状结构。她接受了功能性鼻内镜鼻窦手术。由于玻璃是一种惰性材料，不会引起异物反应，患者可能不会出现任何症状或体征。然而，如果窦口鼻道复合体引流受阻，可能会表现为鼻窦炎，我们认为本病例即为此种情况。据我们所知，这可能是首例报道的从筛窦中取出玻璃且病程超过30年的病例。
