Sheen T S, Ko J Y, Hsu Y H
Department of Otolaryngology, National Taiwan University Hospital, Taipei.
Am J Rhinol. 1997 May-Jun;11(3):225-7. doi: 10.2500/105065897781751839.
Nasal packing is a very common procedure in the otolaryngologic service for nasal bleeding and postoperative hemostasis. However, a pyogenic granuloma complicated from nasal packing has not been reported in the literature. A 50-year-old man underwent nasal packing by use of vaseline gauze due to nasal bleeding. Two weeks later, a dark brown nasal tumor was found in his nasal cavity. He underwent partial turbinectomy for removal of the tumor. The pathology demonstrated a pyogenic granuloma. It is the first case of a confirmed pyogenic granuloma complicated from nasal packing in the literature. To prevent complications and decrease the discomfort, we strongly recommend the use of inflatable balloons or nontraumatic materials for nasal packing.
鼻腔填塞是耳鼻喉科用于鼻出血及术后止血的一种非常常见的操作。然而,文献中尚未报道过因鼻腔填塞并发脓性肉芽肿的情况。一名50岁男性因鼻出血使用凡士林纱布进行鼻腔填塞。两周后,在其鼻腔内发现一个深褐色的鼻肿瘤。他接受了部分鼻甲切除术以切除肿瘤。病理显示为脓性肉芽肿。这是文献中首例确诊因鼻腔填塞并发脓性肉芽肿的病例。为预防并发症并减轻不适,我们强烈建议使用可充气球囊或无创伤材料进行鼻腔填塞。