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題名 | 巨大上頜竇後鼻孔息肉--罕見的兒童急症=Huge Antrochoanal Polyp: A Rare Pediatric Emergency |
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作者 | 林新景; 黃仲鋒; 蘇志英; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 34:1 民88.01-02 |
頁次 | 頁60-62 |
分類號 | 416.853 |
關鍵詞 | 上頜竇後鼻孔息肉; Antrochoanal polyp; |
語文 | 中文(Chinese) |
中文摘要 | 上頜竇後鼻孔息肉(antrochoanal polyp)乃源自於上頜竇黏膜,依嚴重程度不同 延伸至後鼻孔、鼻咽部等,一般多以單側鼻塞、流鼻涕等症狀表現。本科於1998年初經歷一 9歲男童病例,主訴為嚴重咳嗽及漸進的吞嚥、呼吸困難達數月之久。理學檢查發現除右鼻 孔腫塊外,整個口咽腔亦為腫塊所占據;經影像學檢查,初步診斷為上頜竇後鼻孔息肉。在 安排經鼻內視鏡手術切除並經口取出一約7x4x3cm腫塊後,前述症狀明顯改善且恢復良好。 因本病例上頜竇後鼻孔息肉如此巨大而導致病患吞嚥、語言,甚至呼吸發生困難,實屬罕見 。 |
英文摘要 | Antrochoanal polyps usually arise from the maxillary sinus mucosa and extend to the choana and nasopharynx as they grow larger. The clinical presentations of antrochoanal polyps can be unilateral nasal obstruction, nasal discharge, or nasal mass. In 1998, we encountered a 9-year-old boy who had been experiencing a productive cough, dysphagia, dysphonia, and progressive dyspnea for several months. Physical examinations and computed tomography scans revealed an antrochoanal mass arising from the right ostiomeatal complex area, and extending via the choana down to the lower portion of the base of the tongue. After a successful transnasal endoscopic surgery, the patient recovered well and the above symptoms subsided dramatically. In conclusion, detailed physical examinations and imaging study are critically important for a pediatric airway emergency. |
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