山东大学耳鼻喉眼学报 ›› 2025, Vol. 39 ›› Issue (1): 105-109.doi: 10.6040/j.issn.1673-3770.0.2023.450
• 论著 • 上一篇
王登茂,温鑫,耿江桥,张光远,刘晓峰
WANG Dengmao, WEN Xin, GENG Jiangqiao, ZHANG Guangyuan, LIU Xiaofeng
摘要: 目的 探讨儿童鼻咽部毛息肉及错构瘤的临床特点及治疗方法。 方法 回顾性分析1例来源于咽鼓管毛息肉合并鼻咽部错构瘤儿童患者的临床资料并复习相关文献,总结其临床表现、诊断、治疗方法及预后。 结果 患儿手术过程顺利,术后临床症状消失。术后病理提示来源于咽鼓管肿物为毛息肉,鼻咽部肿物为错构瘤。术后随访半年,患儿无复发。 结论 儿童咽鼓管毛息肉合并鼻咽部错构瘤为罕见病,主要表现为上呼吸道梗阻,早期诊断,尽早彻底手术是治疗该疾病的关键。
中图分类号:
[1] Roganovic J, Petra VZ, Marko V, et al. Hairy polyp of the nasopharynx-the importance of team work[C] //Abstracts. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021, 106(2): 134-134. doi:10.1136/archdischild-2021-europaediatrics.318 [2] 房高丽, 朴颖实, 于文玲, 等. 鼻腔呼吸道上皮腺瘤样错构瘤临床和影像学分析[J]. 中国耳鼻咽喉头颈外科, 2020, 27(5): 267-270. doi:10.16066/j.1672-7002.2020.05.009 FANG Gaoli, PIAO Yingshi, YU Wenling, et al. Clinical and imaging features of respiratory epithelial adenomatoidhamartoma in nasal cavity[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2020, 27(5): 267-270. doi:10.16066/j.1672-7002.2020.05.009 [3] Teng YS, Xian ZX, Han SH, et al. Pharyngeal hairy polyps: case series and literature review[J]. Medicine, 2019, 98(5): 14305. doi:10.1097/MD.0000000000014305 [4] 武海燕, 唐英姿, 何利丽, 等. 新生儿咽部毛息肉7例临床病理分析[J]. 临床与实验病理学杂志, 2013, 29(2): 204-205. doi:10.13315/j.cnki.cjcep.2013.02.026 WU Haiyan, TANG Yingzi, HE Lili, et al. Clinicopathological analysis of 7 cases of neonatal pharyngeal hairy polyp[J]. Chinese Journal of Clinical and Experimental Pathology, 2013, 29(2): 204-205. doi:10.13315/j.cnki.cjcep.2013.02.026 [5] Cay A, Bektas D, Imamoglu M, et al. Oral teratoma: a case report and literature review[J]. Pediatr Surg Int, 2004, 20(4): 304-308. doi:10.1007/s00383-003-1133-z [6] Walsh RM, Philip G, Salama NY. Hairy polyp of the oropharynx: An unusual cause of intermittent neonatal airway obstruction[J]. Int J Pediatr Otorhinolaryngol, 1996, 34(1-2):129-134 [7] Franco V, Florena AM, Lombardo F, et al. Bilateral hairy polyp of the oropharynx[J]. J Laryngol Otol, 1996, 110(3): 288-290. doi:10.1017/s0022215100133456 [8] 王美兰, 马静, 娄凡, 等. 罕见小儿下鼻甲毛息肉1例[J]. 中国耳鼻咽喉头颈外科, 2017, 24(2): 107-108. doi:10.16066/j.1672-7002.2017.02.016 WANG Meilan, MA Jing, LOU Fan, et al. A rare case of hair polyp of inferior turbinate in children[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2017, 24(2): 107-108. doi:10.16066/j.1672-7002.2017.02.016 [9] 黄爱萍, 张海中, 崔莉, 等. 婴儿毛息肉13例临床特征及诊治分析[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 55(9): 850-854. doi:10.3760/cma.j.cn115330-20200212-00079 HUANG Aiping, ZHANG Haizhong, CUI Li, et al. Analysis on clinical characteristics, diagnosis and treatment of 13 cases of infant hairy polyp[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2020, 55(9): 850-854. doi:10.3760/cma.j.cn115330-20200212-00079 [10] 徐刚, 刘冰, 何刚, 等. 头颈部错构瘤临床分析[J]. 中国耳鼻咽喉头颈外科, 2013, 20(8): 393-395. doi:10.16066/j.1672-7002.2013.08.005 XU Gang, LIU Bing, HE Gang, et al. Hamartoma of the head and neck[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2013, 20(8): 393-395. doi:10.16066/j.1672-7002.2013.08.005 [11] 钟纯, 涂强, 钟庄龙. 咽鼓管错构瘤1例报道并文献复习[J]. 中国耳鼻咽喉颅底外科杂志, 2021, 27(1): 101-102. doi:10.11798/j.issn.1007-1520.202103164 ZHONG Chun, TU Qiang, ZHONG Zhuanglong. Eustachian tube hamartoma: a case report and literature review[J]. Chinese Journal of Otorhinolaryngology-Skull Base Surgery, 2021, 27(1): 101-102. doi:10.11798/j.issn.1007-1520.202103164 [12] Sheng MJ, Mi YH, Gao FS, et al. Imaging features of pharyngeal hairy polyps in infants[J]. Oral Radiol, 2021, 37(1): 95-100. doi:10.1007/s11282-020-00430-5 [13] 张恒龙, 马静, 明澄, 等. 儿童咽鼓管毛息肉合并中耳胆脂瘤1例[J]. 中国耳鼻咽喉颅底外科杂志, 2022, 28(4): 112-113. doi:10.11798/j.issn.1007-1520.202221267 ZHANG Henglong, MA Jing, MING Cheng, et al. A case of eustachian tube hairy polyp complicated with middle ear cholesteatoma in children[J]. Chinese Journal of Otorhinolaryngology-Skull Base Surgery, 2022, 28(4): 112-113. doi:10.11798/j.issn.1007-1520.202221267 [14] 许风雷, 夏明, 钱晔, 等. 婴儿口咽部毛息肉11例[J]. 山东大学耳鼻喉眼学报, 2013, 27(6): 63-65 XU Fenglei, XIA Ming, QIAN Ye, et al. 11 cases of oropharyngeal hairy polyp in infants[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2013, 27(6): 63-65 [15] 陈坤, 李磊, 孟国珍, 等. 婴儿鼻腔软骨间叶性错构瘤2例及文献复习[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 27-30. doi:10.6040/j.issn.1673-3770.0.2019.588 CHEN Kun, LI Lei, MENG Guozhen, et al. Nasal chondromesenchymal hamartoma in infants: a report of two cases and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 27-30. doi:10.6040/j.issn.1673-3770.0.2019.588 [16] 滕以书, 冼志雄, 韩赛红, 等. 婴幼儿咽部毛状息肉五例[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(7): 534-535. doi:10.3760/cma.j.issn.1673-0860.2017.07.011 TENG Yishu, XIAN Zhixiong, HAN Saihong, et al. Five-cases report of pharyngeal hairy polyps in infant[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2017, 52(7): 534-535. doi:10.3760/cma.j.issn.1673-0860.2017.07.011 [17] Freni F, Nicastro V, Costanzo D, et al. Nasopharynx hairy polyp as a cause of stridor in newborn[J]. J Craniofacial Surg, 2020, 31(6): 572-574. doi:10.1097/scs.0000000000006576 [18] 岑艳芳, 伍映芳, 胡玉莹, 等. 鼻腔呼吸道上皮腺瘤样错构瘤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 30-34, 55. doi:10.6040/j.issn.1673-3770.0.2021.464 CEN Yanfang, WU Yingfang, HU Yuying, et al. Respiratory epithelial adenomatoid hamartoma in the nasal cavity: a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 30-34, 55. doi:10.6040/j.issn.1673-3770.0.2021.464 [19] 朱鑫, 夏曦, 赵锐, 等. 鼻咽部及翼腭窝畸胎瘤1例[J]. 中国耳鼻咽喉头颈外科, 2023, 30(8): 533-534. doi:10.16066/j.1672-7002.2023.08.014 ZHU Xin, XIA Xi, ZHAO Rui, et al. Teratoma of nasopharynx and pterygopalatine fossa: a case report[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2023, 30(8): 533-534. doi:10.16066/j.1672-7002.2023.08.014 |
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