垂体腺瘤的鼻窦及喉部表现。

IF 0.6 Q4 SURGERY
Juhi Irfana Basheer, Balakrishnan Ramaswamy, Aseem Pradhan, Girish Menon, Deepak M Nayak
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引用次数: 0

摘要

垂体腺瘤是第二大最常见的颅内病理,通常表现出头痛、视觉障碍和激素失衡等经典三位一体的症状。不寻常的表现包括鼻窦病变、颅神经受累和颅底等邻近结构的肿块影响。分泌性腺瘤可表现为激素变化及其影响。一个43岁的高血压男性表现为进行性鼻塞。鼻内窥镜检查发现左鼻腔有肿块。MRI和组织病理学证实垂体腺瘤的诊断。男性,58岁,声音嘶哑,吸气性喘鸣,表现为肢端肥大症和声带麻痹。影像学显示垂体腺瘤。耳鼻喉专科医生必须认识到垂体腺瘤的各种表现,可能包括鼻鼻问题、颅神经缺损甚至声音/气道障碍。早期发现有助于有效管理,强调跨学科合作,并在严重病例中优先考虑气道保护。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sinonasal and Laryngeal Presentations of Pituitary Adenoma.

Pituitary adenomas, the second most common intracranial pathology, often exhibit symptoms beyond the classic triad of headache, visual disturbances, and hormonal imbalances. Unusual presentations involve sinonasal pathology, cranial nerve involvement, and mass effects on adjacent structures like the skull base. Secretory adenomas may manifest hormonal changes and their effects. A 43-year-old hypertensive male presented with progressive nasal obstruction. Nasal endoscopy revealed a mass in the left nasal cavity. MRI and histopathology confirmed a pituitary adenoma diagnosis. A 58-year-old male with hoarseness and inspiratory stridor exhibited acromegalic features and vocal cord palsy. Imaging revealed a pituitary adenoma. ENT specialists must recognize varied presentations of pituitary adenomas, which may include sino-nasal issues, cranial nerve deficits or even voice/airway disorders. Early detection allows for effective management, emphasizing interdisciplinary collaboration and prioritizing airway protection in severe cases.

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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
226
审稿时长
6-12 weeks
期刊介绍: Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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