关键词: Cysts Endoscopy Low-temperature plasma knife Marsupialization Nasal vestibular

Mesh : Humans Nasal Cavity / diagnostic imaging surgery pathology Temperature Nose Diseases / surgery Cysts / complications diagnostic imaging surgery Endoscopy Fistula Endoscopes Inflammation

来  源:   DOI:10.1007/s00405-022-07751-7

Abstract:
BACKGROUND: Nasal vestibular cyst is a non-dental cystic mass that occurs under the skin at the base of the nasal vestibule. The primary treatment is a transnasal endoscopic excision of the cyst wall at the base of the nose to open the cyst wall at the base of the nasal cavity, namely, marsupialization.
METHODS: We present a patient with bilateral nasal vestibular cysts with sinus tract formation. This patient underwent marsupialization under general anesthesia because of the presence of facial swelling and other symptoms.
RESULTS: After a 4-year follow-up, our studied case show a significantly improved radiological outcome and clinical prognosis.
CONCLUSIONS: Compared to unilateral lesions, bilateral nasal vestibular cysts are more likely to be underdiagnosed due to the deceptive nature of the bilateral anatomy observed from the radiological findings. With this rare clinical case reported in this study, we hope our experience in diagnosis and treatment will provide a reference for otolaryngologist surgeons managing similar patients.
摘要:
背景:鼻前庭囊肿是一种发生在鼻前庭底部皮肤下的非牙齿囊性肿块。主要治疗方法是经鼻内镜切除鼻底的囊壁,以打开鼻腔底部的囊壁,即,有袋化.
方法:我们介绍了一例双侧鼻前庭囊肿伴窦道形成的患者。由于存在面部肿胀和其他症状,该患者在全身麻醉下进行了袋状化。
结果:经过4年的随访,我们研究的病例显示放射学结果和临床预后显著改善.
结论:与单侧病变相比,双侧鼻前庭囊肿更有可能被低估,因为从放射学结果观察到双侧解剖结构具有欺骗性。在这项研究中报道了这个罕见的临床病例,我们希望我们在诊断和治疗方面的经验将为耳鼻喉科医生管理类似患者提供参考。
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