儿童鼻腔牙4例并文献复习

doi:10.6040/j.issn.1673-3770.0.2020.091

摘要/Abstract

摘要： 目的探讨儿童鼻腔牙的发病及诊疗特点,提高儿童鼻腔牙诊疗水平,减少鼻腔牙误诊误治。方法回顾分析4例儿童鼻腔牙的临床资料,分析其好发部位、主要症状、诊断、手术方法、随访结果等特征。结果 4例患者鼻腔牙生长部位均为鼻腔底部,左侧2例、右侧1例、双侧1例。症状以鼻塞、流涕、鼻出血、鼻腔异味为主,鼻腔CT有助于诊断,均经鼻内镜下鼻腔牙切除术,术后随访3个月至3年,未见复发,术后未出现鼻腔黏连和硬腭瘘等。结论儿童鼻腔牙以单侧鼻腔牙为主,也有双侧鼻腔牙病例,易误诊为鼻腔异物;发病年龄较儿童鼻腔异物患儿大,6岁以上鼻腔异味的患儿需要考虑鼻腔牙的可能;鼻内镜下鼻腔牙切除术是治疗鼻腔牙的主要手段。

关键词: 鼻腔牙, 儿童, 鼻腔异物, 鼻腔异味, 鼻塞, 流涕, 鼻出血

Abstract: Objective The aim of this study was to explore the pathogenesis, diagnosis, and treatment characteristics of intranasal teeth in children in order to improve the diagnosis and treatment and to reduce misdiagnoses and mistreatment in these cases. Methods The clinical data of 4 cases of nasal teeth in children were retrospectively assessed. The features of their frequent sites, main symptoms, diagnoses, surgical methods, and follow-up results were analyzed. Results The growth sites of the nasal teeth in 4 patients were all at the bottom of the nasal cavity, 2 cases on the left, 1 case on the right, and 1 case on both sides. Common symptoms were nasal obstruction, runny nose, epistaxis, and a peculiar nasal smell. CT is useful in the diagnosis. All patients underwent nasal tooth resection under nasal endoscope. Follow-ups from 3 months to 3 years after surgery showed no recurrence, no nasal adhesion, and no cases of hard palate fistula. Conclusions Nasal teeth in children are usually unilateral; however, there are also cases of bilateral nasal teeth which are easily misdiagnosed as nasal foreign bodies. The onset age is older than that of children with nasal foreign bodies. Children over 6-years-old with nasal odor need to be considered for the possible diagnosis of nasal teeth. Endoscopic resection of nasal teeth is the primary method to treat these cases..

Key words: Intranasal teeth, Children, Foreign bodies in nasal cavity, Nose odor, Nasal congestion, Running nose, Epistaxis

中图分类号:

R765.8

王丽,袁虎威,潘宏光. 儿童鼻腔牙4例并文献复习[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 16-20.

WANG Li, YUAN Huwei, PAN Hongguang. Nasal teeth in children: a report of four cases with literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 16-20.

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