PDF(Pubmed)
Abstract：
A man in his 20s presented with complaints of unilateral nasal obstruction for the past 6 years that progressively worsened leading to irrational use of over-the-counter nasal decongestants. With the worsening of symptoms, a non-contrast CT was done. It showed a dense expansile sclerotic lesion of the right inferior turbinate, which was excised endoscopically. Cemento-ossifying fibromas of the inferior turbinate are rare and require assessment and surgical excision to relieve the symptom of nasal obstruction. It derives its name from the variable proportions of fibrous and mineralised tissue present in it and exclusively develops in the craniofacial region. It can be surgically managed by an endoscopic, an endonasal non-endoscopic (with a speculum) or an open approach (lateral rhinotomy, sublabial approach or mid-facial degloving). Here, we present how such a case was detected and managed surgically by the endoscopic approach, which is a minimally invasive option with shorter hospital stay and early recovery.
摘要：
在过去的6年中，一名20多岁的男子抱怨单侧鼻塞，这种情况逐渐恶化，导致不合理地使用非处方鼻减充血剂。随着症状的恶化，进行了非造影CT检查.它显示了右下鼻甲的致密的扩张性硬化病变，是用内窥镜切除的。下鼻甲的骨化性纤维瘤很少见，需要评估和手术切除以减轻鼻塞的症状。它的名称来自其中存在的纤维和矿化组织的可变比例，并且仅在颅面区域发展。它可以通过内窥镜手术管理，鼻内非内镜（带镜）或开放入路（鼻侧切开术，阴唇下入路或面部中部脱皮)。这里,我们介绍了如何通过内窥镜方法检测和手术治疗这种情况，这是一种微创选择，住院时间短，恢复早。
