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前鼻腔内异物嵌顿伴牙痛

Impacted Foreign Body in the Anterior Nasal Cavity Presenting With Tooth Pain.

作者信息

Choi Jae Hyoung, Kim Kyung Soo, Min Hyun Jin

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Republic of Korea.

出版信息

J Rhinol. 2023 Mar;30(1):45-47. doi: 10.18787/jr.2023.00007. Epub 2023 Mar 30.

Abstract

Foreign bodies pose a diagnostic challenge to clinicians, and nasal foreign bodies have the potential to lead to significant morbidity. Although foreign bodies in the nasal cavity are a commonly encountered problem in pediatric patients, a foreign body in the nasal cavity not associated with a trauma history is rare in adults. We recently experienced a 35-year-old man who presented with a foreign body in his right nasal cavity and anterior tooth pain. He was not sure what the material was, and we were not able to confirm the material type preoperatively. However, we found that a very large and thick material was impacted and totally obstructed the right anterior nasal cavity. We surgically removed it as a bone block and confirmed postoperatively that the material was glass. This case provided several lessons, and we would like to share our experience.

摘要

异物给临床医生带来了诊断挑战,鼻腔异物有可能导致严重的发病情况。虽然鼻腔异物在儿科患者中是常见问题,但在成人中,无外伤史的鼻腔异物却很少见。我们最近接诊了一名35岁男性,他右侧鼻腔有异物并伴有上前牙疼痛。他不确定异物是什么材料,我们在术前也无法确定材料类型。然而,我们发现一块非常大且厚的材料嵌顿其中,完全阻塞了右侧前鼻腔。我们通过手术将其作为骨块取出,术后证实该材料是玻璃。这个病例给了我们一些经验教训,我们想分享一下我们的经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ecb/11524366/405961a8eee9/jr-2023-00007f1.jpg

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