巨大鼻眼贯通、颅底嵌顿异物损伤1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2023.486

摘要/Abstract

摘要： 目的探讨外伤性鼻腔鼻窦异物的临床诊治方案,以避免临床漏诊误诊,并为外伤性鼻腔鼻窦异物的治疗提供临床参考。方法回顾性分析1例巨大鼻眼贯通、颅底嵌顿异物损伤患者临床资料,并复习鼻腔鼻窦异物相关文献。结果该例患者结合病史与CT检查明确鼻窦异物诊断,术中鼻内镜联合眼外径路成功将异物取出,患者术后恢复良好。结论鼻腔鼻窦异物是耳鼻咽喉科常见急症,一些外伤导致的鼻腔鼻窦异物常常给临床诊治工作带来困难,通过详细询问病史、影像学检查、鼻内镜检查,可以为诊断提供依据,避免漏诊误诊。外科医生必须根据具体情况灵活选择术式,其中鼻内镜手术逐渐成为首选治疗方法。

关键词: 鼻窦, 异物, 颅底, 鼻内镜手术

Abstract: Objective To explore the clinical diagnosis and treatment plan for traumatic foreign bodies in the nasal cavity and paranasal sinuses, in order to avoid clinical misdiagnosis or missed diagnosis, and to provide a clinical reference for the treatment of traumatic foreign bodies in the nasal cavity and paranasal sinuses. Methods A retrospective analysis was performed on the clinical data of a patient with giant nasal eye penetration and skull base entrapment foreign body injury, and relevant literature on foreign bodies in the nasal cavity and paranasal sinuses was reviewed. Results Based on the patient's history and CT examination, the foreign body in the paranasal sinus and the orbital penetration injury were confirmed. The foreign body was successfully removed by nasal endoscopy combined with external eye approach during surgery, and the patient recovered well after surgery. Conclusion Foreign bodies in the nasal cavity and paranasal sinuses are common emergencies in the otolaryngology department. Some foreign bodies in the nasal cavity and paranasal sinuses caused by trauma often bring difficulties in clinical diagnosis and treatment. Detailed history taking, imaging examination and nasal endoscopic examination can provide the basis for diagnosis to avoid misdiagnosis or missed diagnosis. Surgeons must choose surgical techniques flexibly according to specific circumstances, among which endoscopic nasal surgery has gradually become the preferred treatment method.

Key words: Nasal sinuses, Foreign body, Skull base, Endoscopic sinus surgery

中图分类号:

R765.8

郭荣昌,刘晴航,王洪增,孙树军. 巨大鼻眼贯通、颅底嵌顿异物损伤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 135-141.

GUO Rongchang, LIU Qinghang, WANG Hongzeng, SUN Shujun. Through the orbit with sinus huge foreign bodies embedded in the base of the skull: a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(4): 135-141.

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