Iacovidou Aphrodite, Acharya Vikas, Joshi Devavrata, Taghi Ali
ENT Surgery, Imperial College London, London, UK.
ENT Surgery, Luton and Dunstable Hospital NHS Trust, Luton, UK.
BMJ Case Rep. 2019 Aug 26;12(8):e230696. doi: 10.1136/bcr-2019-230696.
We present a rare and unusual case of a 16-year-old girl, with no significant medical history, presenting with right nasal obstruction and suspected sinusitis with occasional epistaxis and haemoptysis. On examination, she had a mass lesion in the right nasal cavity, with no evidence of other pathology on assessment of the ears, nose, throat or head and neck. A CT scan revealed an opacified right maxillary sinus with polypoidal mucosa, extending and passing through the accessory ostium into the right nasal cavity. Examination under anaesthesia with functional endoscopic sinus surgery and excision of the lesion was subsequently undertaken. Histological analysis confirmed the mass lesion as a haemangioma. This case report is the first to present a maxillary haemangioma presenting as nasal obstruction with intermittent sinusitis symptoms in a child. The authors discuss the incidence, presentation and management of maxillary haemangiomas in the paediatric population.
我们报告了一例罕见且不寻常的病例，患者为一名16岁女孩，无重大病史，表现为右侧鼻塞，疑似鼻窦炎，伴有偶尔的鼻出血和咯血。检查时，她右侧鼻腔有一个肿块病变，在评估耳、鼻、喉或头颈部时未发现其他病理迹象。CT扫描显示右侧上颌窦黏膜呈息肉样增厚并伴有混浊，病变延伸并通过副鼻窦口进入右侧鼻腔。随后进行了全身麻醉下的功能性鼻内镜鼻窦手术及病变切除术。组织学分析证实该肿块病变为血管瘤。本病例报告首次呈现了一名儿童上颌血管瘤表现为鼻塞并伴有间歇性鼻窦炎症状。作者讨论了儿童上颌血管瘤的发病率、临床表现及治疗方法。
