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托恩瓦尔特鼻咽囊肿:病例系列及文献综述

Tornwaldt nasopharyngeal cyst: Case series and literature review.

作者信息

Alshuhayb Zainab, Alkhamis Hussain, Aldossary Majed, Almoumen Zahra, Aldhurais Amirah, Alshuhayb Bayan, Almomen Ali

机构信息

AL Jaber ENT and Eye Hospital, Al Ahsa, Saudi Arabia.

King Fahad Specialist Hospital, Dammam, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2020;76:166-169. doi: 10.1016/j.ijscr.2020.09.105. Epub 2020 Sep 21.

DOI:10.1016/j.ijscr.2020.09.105
PMID:33039780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7550824/
Abstract

BACKGROUND

Tornwaldt cyst (TC) is a relatively rare but benign disease. Although these lesions are asymptomatic and found incidentally during routine ENT examination, the can present with unexplained sinonasal symptoms, such as nasal obstruction, post nasal drip and occipital headache.

AIM

To study the clinical presentations and outcome of Tornwaldt nasopharyngeal cyst cases diagnosed and managed in our center.

METHODS

Patients with symptomatic TC who were operated and followed up at our center were selected for this study.

RESULTS

3 patients with a diagnosis of TC by naso-endoscopy, CT and MRI were included in this study. All patients were males, with age ranging from 54 to 86 years. A trans-nasal endoscopic surgical removal of the cyst was done for all patients with no intra or post-operative complications. All patients were free of symptoms and disease reassurance at follow up.

CONCLUSION

Although relatively rare, TC should be suspected in any patient complaining of unexplained sinonasal symptoms. Endoscopic surgical excision is a safe and effective maneuver with no cyst recurrence.

摘要

背景

托恩瓦尔特囊肿(TC)是一种相对罕见的良性疾病。尽管这些病变通常无症状,在常规耳鼻喉检查中偶然发现,但也可能出现不明原因的鼻鼻窦症状,如鼻塞、鼻后滴漏和枕部头痛。

目的

研究在本中心诊断和治疗的托恩瓦尔特鼻咽囊肿病例的临床表现及治疗结果。

方法

选取在本中心接受手术及随访的有症状的TC患者进行本研究。

结果

本研究纳入3例经鼻内镜、CT和MRI诊断为TC的患者。所有患者均为男性,年龄在54至86岁之间。所有患者均接受了经鼻内镜囊肿切除术,术中及术后均无并发症。随访时所有患者症状消失,疾病得到缓解。

结论

尽管TC相对罕见,但对于任何主诉不明原因鼻鼻窦症状的患者都应怀疑此病。内镜手术切除是一种安全有效的方法,囊肿无复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/ca5a4e370097/pl5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/2bde0189951a/pl1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/2fdfd05d7e2c/pl2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/aeeb9e55fbd9/pl3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/3a807d5d1153/pl4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/ca5a4e370097/pl5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/2bde0189951a/pl1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/2fdfd05d7e2c/pl2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/aeeb9e55fbd9/pl3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/3a807d5d1153/pl4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa4/7550824/ca5a4e370097/pl5.jpg

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The PROCESS 2018 statement: Updating Consensus Preferred Reporting Of CasE Series in Surgery (PROCESS) guidelines.PROCESS 2018 声明:更新外科手术病例系列报告的共识首选报告规范(PROCESS)指南。
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Thornwaldt's cyst and surgery with powered instrumentation.
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