金属鼻石撞击1例报道

Abhayjeet Singh, P. Athwal, Harsimrat Singh, A. Roy, V. P. Venketachalam
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引用次数: 3

摘要

鼻石症是一种罕见的疾病。它通常与良性和恶性鼻肿瘤混淆。它们有不同的临床表现。我们报告一例因吸入工业废气而致鼻石的罕见病例。患者就诊于Saraswathi医学研究所门诊,有鼻塞、淡黄色鼻分泌物、频繁头痛和鼻出血病史,病程3个月。患者为工业工人,有工业烟气(氧化锌)吸入史。在对患者进行全面的病史调查后,进行了包括前鼻镜和鼻内窥镜在内的局部检查。鼻内窥镜检查显示一灰色不规则致密实性肿块。鼻及鼻窦电脑断层扫描显示左、右鼻腔有一不透射线肿块。鼻石在全身麻醉下被内镜切除,导致他的症状完全消失。鼻石症的诊断可以根据病史和症状保持强烈的怀疑。目前的病例报告显示刚性鼻内窥镜检查和放射学评估在鼻结石的诊断和治疗中的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Rare Case Report of Impacted Metallic Rhinolith
Introduction Rhinolithiasis is an uncommon condition. It is usually confused with both benign and malignant nasal tumors. They have various clinical presentations. Case Presentation We report a rare case of rhinolith due to inhalation of industrial fumes. The patient presented to the OPD of Saraswathi institute of medical sciences, hospital with history of nasal obstruction, yellowish nasal discharge, frequent headache and epistaxis of 3 months duration. The patient was an industrial worker by profession and gave history of inhalation of industrial fumes (zinc oxide). After taking a thorough history of the patient local examination including anterior rhinoscopy and nasal endoscopy was carried out. Nasal endoscopy revealed a greyish irregular densely impacted solid mass. Computed tomography (CT) scan of nose and paranasal sinuses showed a radiopaque mass in right and left side of nasal cavity. Rhinolith was removed endoscopically under general anaesthesia, leading to the complete resolution of his symptoms. Discussion Diagnosis of rhinolithiasis can be made by keeping a strong suspicion based upon history and symptoms. The current case report shows the importance of rigid nasal endoscopy and radiological assessment in diagnosis and management of rhinolith.
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