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[蝶腭孔息肉:罕见病例研究及文献综述]

[Sphenochoanal polyp: case study of a rare entity and literature review].

作者信息

Houda Mounji, Salk Eddafi, Malika Benfdil, Mehdi Elfakiri, Youssef Rochdi, Hassan Nouri, Abdelaziz Raji

机构信息

Service d'Otorhinolaryngologie et de Chirurgie Cervico-Faciale, CHU Mohammed VI de Marrakech, Marrakech, Maroc.

出版信息

Pan Afr Med J. 2020 Oct 8;37:139. doi: 10.11604/pamj.2020.37.139.20832. eCollection 2020.

Abstract

Sphenochoanal polyp is a rare form of choanal polyp originating from the sphenoid sinus and extending to the choanae via the sphenoethmoidal recess. We report a case of sphenochoanal polyp in a 15-year-old boy presenting with a 3-year history of chronic progressive nasal obstruction, treated with endoscopic surgery with good post-operative outcome. Sphenochoanal polyp is extremely rare. Symptomatically, it resembles an antrochoanal polyp. Adequate preoperative evaluation based on endoscopic examination and computed tomography (CT) scan or magnetic resonance imaging is necessary for accurate diagnosis and appropriate surgical strategy. Endoscopic excision is the treatment of choice.

摘要

蝶筛后鼻孔息肉是后鼻孔息肉的一种罕见类型,起源于蝶窦,经蝶筛隐窝延伸至后鼻孔。我们报告一例15岁男孩的蝶筛后鼻孔息肉病例,该男孩有3年慢性进行性鼻塞病史,接受了内镜手术治疗,术后效果良好。蝶筛后鼻孔息肉极为罕见。在症状上,它类似于上颌窦后鼻孔息肉。基于内镜检查和计算机断层扫描(CT)或磁共振成像进行充分的术前评估对于准确诊断和制定合适的手术策略是必要的。内镜切除是首选的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c22b/7757228/52e067f1089d/PAMJ-37-139-g001.jpg

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