Department of Otolaryngology, University of South Florida, Tampa, Florida, USA
Department of Pediatric Otolaryngology, Nemours Children's Clinic, Jacksonville, Florida, USA.
BMJ Case Rep. 2023 May 2;16(5):e251182. doi: 10.1136/bcr-2022-251182.
Nasal polyps are a common aetiology for persistent nasal obstruction. While antrochoanal polyps predominate the literature, the lesser known sphenochoanal polyp is equally as bothersome. To our knowledge, no prior dedicated review exists that characterises the patient population affected by this disease. We present a case and associated literature review over the past 30 years on the patient demographics and treatment of sphenochoanal polyps. A total of 88 cases were identified. Of the published cases, 77 were included in our search as patient characteristics were available. The age ranged from 2 to 80 years old. There were 35 female and 42 male patients. Only 58 studies established laterality, with the polyps originating from the left in 32 cases, right in 25 and bilateral in 1 case. Sphenochoanal polyps occur in all ages, nearly even distribution across sex. Endoscopic removal is safe with favourable outcomes.
鼻息肉是持续性鼻塞的常见病因。尽管文献中主要报道的是上颌窦后鼻孔息肉，但鲜为人知的蝶筛窦后鼻孔息肉同样令人困扰。据我们所知，目前尚无专门针对受这种疾病影响的患者人群进行描述的综述。我们报告了一例病例，并对过去 30 年来有关蝶筛窦后鼻孔息肉的患者特征和治疗的文献进行了回顾。共确定了 88 例病例。在已发表的病例中，有 77 例纳入了我们的检索，因为可获得患者特征。患者年龄为 2 至 80 岁。有 35 名女性和 42 名男性患者。仅有 58 项研究确定了病变侧别，其中 32 例息肉起源于左侧，25 例起源于右侧，1 例起源于双侧。蝶筛窦后鼻孔息肉可发生于各个年龄段，男女发病率几乎相当。内镜切除是安全的，预后良好。
