Talugula Snehitha, Callahan Nicholas, Lee Victoria S
College of Medicine, University of Illinois Chicago, Chicago, Illinois, USA.
College of Dentistry, University of Illinois Chicago, Chicago, Illinois, USA.
Case Rep Otolaryngol. 2025 Aug 14;2025:7411692. doi: 10.1155/crot/7411692. eCollection 2025.
Chronic rhinosinusitis (CRS) is a widely prevalent disease. Retained objects as the cause of CRS are not commonly reported in the literature. The impact of the removal of this object is also a point of interest. The purpose of this case report was to investigate a patient whose CRS was suspected to be due to a foreign object and his postoperative course. A 37-year-old male patient presented to the clinic with a chief complaint of right-sided nasal congestion, severe maxillary sinus pressure, and green thick nasal drainage for many years. He reported a history of dental and endonasal surgery on that side 8 years ago in Saudi Arabia. Imaging showed complete opacification of the right maxillary sinus and anteroinferior nasal cavity and several irregular-shaped radio-opaque materials within this region. His symptoms were refractory to medical management, and he chose to undergo endoscopic sinonasal surgery. A piece of gauze was removed from the right sinonasal cavity and maxillary sinus. In the weeks following surgery, his symptoms and inflammation fully resolved. Retained objects or material within the nose and sinuses are not commonly reported in the literature. This patient's CRS was secondary to a preventable cause. His increased morbidity after his initial surgery 8 years ago could have been avoided with careful attention to surgical counts.
慢性鼻-鼻窦炎（CRS）是一种广泛流行的疾病。文献中并不常报道异物残留作为CRS病因的情况。取出该异物的影响也是一个值得关注的点。本病例报告的目的是研究一名疑似因异物导致CRS的患者及其术后病程。一名37岁男性患者因右侧鼻塞、严重上颌窦压痛和多年的绿色浓稠鼻分泌物为主诉前来就诊。他报告8年前在沙特阿拉伯有过该侧的牙科手术和鼻内手术史。影像学检查显示右侧上颌窦和鼻前下份完全浑浊，该区域内有几块不规则形状的不透X线物质。他的症状对药物治疗无效，于是选择接受鼻内镜鼻窦手术。从右侧鼻窦腔和上颌窦取出一块纱布。术后几周，他的症状和炎症完全消退。文献中并不常报道鼻腔和鼻窦内的异物残留或物质。该患者的CRS继发于一个可预防的病因。如果8年前初次手术时仔细清点手术物品，他术后增加的发病率本可避免。
