Department of Otolaryngology-Head & Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA,
Department of Otolaryngology-Head & Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.
ORL J Otorhinolaryngol Relat Spec. 2021;83(3):203-205. doi: 10.1159/000513564. Epub 2021 Mar 3.
Although nasal polyposis is a common clinical entity, there is limited literature describing the rare presentation of sudden prolapse of a massive nasal polyp resulting in an airway emergency in an adult. We present the first case report to our knowledge of a patient without any preceding sinonasal symptoms or history of anticoagulation who experienced acute upper airway obstruction due to sudden hemorrhage and prolapse of a large nasal polyp. Based on our experience treating this patient, we discuss special considerations in all phases of care to ensure safe and effective management of such an exceptional clinical scenario.
虽然鼻息肉是一种常见的临床实体,但很少有文献描述成人中罕见的大量鼻息肉突然脱垂导致气道紧急情况的表现。我们报告了首例据我们所知的患者,其没有任何先前的鼻窦症状或抗凝治疗史,但由于大的鼻息肉突然出血和脱垂而发生急性上呼吸道梗阻。根据我们治疗该患者的经验,我们讨论了在所有护理阶段的特殊注意事项,以确保对这种特殊临床情况进行安全有效的管理。