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鼻石症:关于一例罕见病症的观察报告

Rhinolithiasis: about an observation of a rare condition.

作者信息

Lahma Jawad, Hejjouji Reda, Azzam Imane, Oujilal Abdelilah, Essakalli Leila

机构信息

ENT Department, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco.

出版信息

Pan Afr Med J. 2018 Oct 3;31:78. doi: 10.11604/pamj.2018.31.78.16570. eCollection 2018.

Abstract

Rhinolithiasis is a rare condition often neglected or unknown that tends to disappear in developed countries and corresponds to a solid calcification by gradual deposition of calcareous salts around a central resorbable or non-resorbable foundation of varying shape and size. The most common symptom is a long-term unilateral purulent rhinorrhea and unilateral nasal obstruction. Nasal endoscopy and imaging are interesting for the positive diagnosis but especially to highlight the anatomical anomalies or related pathologies. Therapeutic management requires endonasal extraction of the rhinolith under general anesthesia. We report an observation of rhinolithiasis treated in our department associating a significant deformation of the nasal pyramid to osteolysis.

摘要

鼻石症是一种罕见的病症,常常被忽视或不为人知,在发达国家有逐渐消失的趋势,它是指钙质盐围绕形状和大小各异的可吸收或不可吸收的中心基础逐渐沉积而形成的固体钙化。最常见的症状是长期单侧脓性鼻漏和单侧鼻塞。鼻内镜检查和影像学检查对明确诊断很有意义,但尤其有助于突出解剖学异常或相关病变。治疗处理需要在全身麻醉下经鼻取出鼻石。我们报告了在我们科室治疗的一例鼻石症病例,该病例伴有鼻锥体的明显变形和骨质溶解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49b0/6457722/7b41c900543b/PAMJ-31-78-g001.jpg

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