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鞍鼻畸形:新型冠状病毒肺炎感染的一种罕见并发症。

Saddle nose deformity: a rare complication of COVID-19 infection.

作者信息

Zhu Daniel, Tham Tristan, Georgolios Alexandros

机构信息

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.

Department of Otolaryngology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA.

出版信息

Otolaryngol Case Rep. 2022 Jun;23:100428. doi: 10.1016/j.xocr.2022.100428. Epub 2022 Mar 26.

Abstract

INTRODUCTION

Although the effects of SARS-CoV-2 (COVID-19) infection in olfaction have been well established, there is relative paucity of information on possible other complications of COVID-19 in the nasal cavities and nasal function.

CASE REPORT

We report the unique case of a young female patient, with a remote history of septoplasty and functional endoscopic sinus surgery who developed severe nasal airway obstruction (NAO) and saddle nose deformity two to three weeks after her recovery from COVID-19.

CONCLUSION

This case report illustrates a late septoplasty complication that may be associated with COVID-19. This unusual clinical presentation indicates that structural destabilization of the nose may ensue as a complication of the COVID-19, and requires further investigation of the SARS-CoV-2 effects in vascularity and wound healing in the nasal cavity.

摘要

引言

尽管严重急性呼吸综合征冠状病毒2(SARS-CoV-2,即新冠病毒)感染对嗅觉的影响已得到充分证实,但关于新冠病毒在鼻腔及鼻腔功能方面可能存在的其他并发症的信息相对较少。

病例报告

我们报告了一例年轻女性患者的独特病例,该患者既往有鼻中隔成形术和功能性内镜鼻窦手术史,在从新冠病毒感染中康复两到三周后,出现了严重的鼻气道阻塞(NAO)和鞍鼻畸形。

结论

本病例报告说明了一种可能与新冠病毒相关的鼻中隔成形术晚期并发症。这种不寻常的临床表现表明,鼻子的结构不稳定可能是新冠病毒感染的并发症,需要进一步研究SARS-CoV-2对鼻腔血管和伤口愈合的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e1b/8957314/25cea3037aa7/gr1_lrg.jpg

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