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鼻部、鼻旁窦及前颅底罕见病。

Rare Diseases of the Nose, the Paranasal Sinuses, and the Anterior Skull Base.

机构信息

Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie, Universitätsklinik Ulm.

出版信息

Laryngorhinootologie. 2021 Apr;100(S 01):S1-S44. doi: 10.1055/a-1331-2469. Epub 2021 Apr 30.

Abstract

Due to their low incidence and thus resulting limited diagnostic criteria as well as therapeutic options, rare diseases of the nose, the paranasal sinuses, and the anterior skull base are a significant challenge. The value as of which a disease has to be considered as rare amounts to a maximum of 5 patients per 10 000 people. Within these diseases, however, there are extreme differences. Some rare or orphan diseases like for example the inverted papilloma belong to regularly diagnosed and treated diseases of larger departments of oto-rhino-laryngology whereas other rare diseases and malformations have only been described in less than 100 case reports worldwide. This fact emphasizes the necessity of bundling the available experience of diagnostics and therapy. The present article gives an overview about rare diseases of the nose, the paranasal sinuses, and the anterior skull base from the field of diseases/syndromes of the olfactory system, malformations of the nose and paranasal sinuses, ventilation and functional disorders as well as benign and malignant tumors. The classification and data on diagnostic and therapeutic options were established based on the current literature.

摘要

由于发病率低,导致诊断标准有限以及治疗选择有限,因此鼻腔、鼻窦和前颅底的罕见疾病是一个重大挑战。罕见疾病的定义是每 10000 人中最多有 5 名患者。然而,在这些疾病中,存在着极端的差异。一些罕见或孤儿疾病,如 inverted papilloma(内翻性乳头状瘤),属于耳-鼻-喉科较大科室经常诊断和治疗的疾病,而其他罕见疾病和畸形在全球范围内的病例报告中不到 100 例。这一事实强调了汇集现有诊断和治疗经验的必要性。本文从嗅觉系统疾病/综合征、鼻和鼻窦畸形、通气和功能障碍以及良性和恶性肿瘤等方面,对鼻腔、鼻窦和前颅底的罕见疾病进行了概述。分类和关于诊断及治疗选择的数据是基于当前的文献资料建立的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d10c/8354577/c3a096fff268/10-1055-a-1331-2469-i13312469-eng-0001.jpg

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