ISSN 1673-3770 CN 37-1437/R
Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (4): 92-96.doi: 10.6040/j.issn.1673-3770.0.2019.376
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To explore the genesis, clinical diagnosis, treatment, and prevention mechanisms of the formation of stones within the nasal cavity and sinus as well as measures toreduce the rate of clinical misdiagnosis. MethodsA comprehensive analysis was conducted on six patients with nasal and sinus calculi who visited the hospital between April 2012 and November 2017. The etiology, pathology, clinical diagnosis, differential diagnosis, treatment, prevention, and complication management of the disease were summarized for each patient. ResultFive patients underwent surgery for the removal of stones from the nasal cavity and sinus under general anesthesia. Nasal endoscopy was also performed for the assessment of the related sinus passages. One patient recovered upon nasal irrigation and anti-inflammation treatment. All the patients were followed up for six months and the mucosal layer within the operation area that was epithelialized, recovered well. The symptoms disappeared without any additional complications. ConclusionNasal endoscopy in combination with the assessment of clinical manifestation and imaging are conducive to the diagnosis of the disease. Together, these could develop into an effective treatment regimen for nasal cavity and sinusoidal lithiasis.
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| [1] | 卜国铉. 鼻科学[M]. 上海: 上海科学技术出版社, 2000. |
| [2] | Orhan K, Kocyigit D, Kisnisci R, et al. Rhinolithiasis:an uncommon entity of the nasal cavity[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2006,101(2):e28-e32. doi:10.1016/j.tripleo.2005.07.036. |
| [3] | Nassif C, El Hage RG, Rassi S. Rhinoliths: an unusual diagnosis of nasal obstruction[J]. Le J Meédical Libanais Leban Med J, 2014, 62(2):119-122. doi:10.12816/0004109. |
| [4] | Send T, Jakob M, Eichhorn KW. Multiple causes for rhinolithiasis[J]. Rhinology, 2014, 52(2):183-186. doi:10.4193/Rhin13.153. |
| [5] | Kocasarac HD, Celenk P, Erzurumlu ZU, et al. Clinical and radiological aspects of rhinoliths: report of five cases[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2013, 116(2):232-237. doi:10.1016/j.oooo.2013.05.019. |
| [6] | Hadi U,Ghossaini S,Zaytoun G. Rhinolithiasis:a forgotten entity[J].Otolaryngol Head Neck Surg,2002,126(1):48-51. |
| [7] | 宋科英. 鼻石临床特征分析[J]. 长治医学院学报, 2017,31(2):142-143. doi:10.3969/j.issn.1006-0588.2017.02.018. |
| [8] | 杨本涛, 刘延军, 汪卫中, 等. 鼻石的CT诊断[J]. 中华放射学杂志, 2003, 37(4):341-343. doi:10.3760/j.issn:1005-1201.2003.04.014. YANG Bentao, LIU Yanjun, WANG Weizhong, et al. CT diagnosis of rhinolith[J]. Chinese Journal of Radiology, 2003, 37(4):341-343. doi:10.3760/j.issn:1005-1201.2003.04.014. |
| [9] | Fanchette J, Faucon B, Cartry F, et al. Reconstruction of the anterior wall of the frontal sinus by a custom-made titanium prosthesis after resection of a giant osteoma of the frontal sinus[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2019, 136(1):33-36. doi:10.1016/j.anorl.2018.07.003. |
| [10] | Nguyen S, Nadeau S. Giant frontal sinus osteomas: demographic, clinical presentation, and management of 10 cases[J]. Am J Rhinol Allergy, 2019, 33(1):36-43. doi:10.1177/1945892418804911. |
| [11] | da Costa ED, Peyneau PD, Ferreira LM, et al. Clinical implications, diagnosis and treatment of a giant frontoethmoid osteoma[J]. Gen Dent, 2018, 66(5):e1-e4. |
| [12] | 周立娟, 魏洪政. 真菌球型鼻窦炎的CT及MRI影像特征分析[J]. 中国耳鼻咽喉头颈外科, 2016, 23(12):723-724. doi:10.16066/j.1672-7002.2016.12.012. |
| [13] | 刘金兰, 李杰恩, 陈飚友, 等. CT联合鼻内镜对真菌性上颌窦炎的诊断价值[J]. 中国耳鼻咽喉颅底外科杂志, 2019, 25(1):60-64. doi:10.11798/j.issn.1007-1520.201901012. LIU Jinlan, LI Jieen, CHEN Biaoyou, et al. Value of computed tomography combined with nasal endoscopy in the diagnosis of fungal maxillary sinusitis[J]. Chinese Journal of Otorhinolaryngology-Skull Base Surgery, 2019, 25(1):60-64. doi:10.11798/j.issn.1007-1520.201901012. |
| [14] | Bhattacharya S, Mishra R. Fibrous dysplasia and cherubism[J]. Indian J Plast Surg, 2015, 48(3):236-248. doi: 10.4103/0970-0358.173101. |
| [15] | Atalar MH, Salk I, Savas R, et al. CT and MR imaging in a large series of patientsith carniofacial fibrous dysplasia[J]. Pol J Radiol, 2015,80:232-240. doi: 10.12659/PJR.893425. eCollection 2015. |
| [16] | Kuchler E C,Costa M,DE C,et al.Supernumerary teeth vary depending on gender[J].Braz Oral Res, 2011, 25:76-79. |
| [17] | 喻佳,叶礼新,姜叶芳.CT诊断鼻腔额外牙1例[J].中国医学影像学杂志,2013,21(9):701. YU Jia, YE Lixin, JIANG Yefang. CT diagnosis of extra teeth in nasal cavity:1 case[J].Chinese Journal of Medical Imaging, 2013, 21(9):701. |
| [18] | 郭光良,胡丽敏,路远.鼻腔额外牙并同侧上颌窦炎1例[J].临床耳鼻咽喉头颈外科杂志,2015, 29(16):1494-1495. GUO Guangliang, HU Limin, LU Yuan. One case of additional in nasal cavity combined with ipsilateral maxillary sinusitis[J].Journal of Clinical Otolaryngology Head and Neck Surgery, 2015, 29(16):1494-1495. |
| [19] | 王秀启,李希华,吉登云,等. 鼻石1例[J]. 山东大学耳鼻喉眼学报,2012,26(02):91. |
| [1] | ObjectiveTo discuss the early diagnosis and multidisciplinary diagnosis and treatment of neovascular glaucoma in ocular ischemic syndrome. MethodsThe medical records of a 54-year-old male patient with cerebral infarction who presented with right-eye vision loss that had persisted for a week were reviewed. After slit-lamp examination and fluorescence angiography, he was diagnosed with ocular ischemic syndrome(OIS)complicated by neovascular glaucoma in the right eye and treated with intravitreal injection of anti-VEGF drugs and panretinal photocoagulation. ResultsAfter three months of treatment, the right-eye iris neovascularization subsided, and the intraocular pressure was controlled within normal limits. ConclusionOcular ischemia is often missed or misdiagnosed by ophthalmologists, neurologists, cardiologists, and vascular surgeons due to its insidious onset and complex clinical manifestations. Therefore, the establishment of multidisciplinary diagnosis and treatment can improve the prognosis of OIS patients.. Neovascular glaucoma in ocular ischemic syndrome: a case report and literature reviewQIN Shuqi1, WANG Luping1, JIANG Bin2, WANG Yanling1 1. Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 10050, China; 2. Department of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing 10050, ChinaAbstract: [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 53-55. |
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| [5] | CHEN Lixiao, JIANG Rui, YU Ziwei. Narrow-band imaging in diagnosis and treatment of tumors of the pharynx and larynx [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 104-108. |
| [6] | CAO Zhong-liang1, XU Xing-xing2. Diagnosis and treatment of reflux throat pharyngitis with helicobacter pylori infection [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(1): 58-60. |
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