鼻腔鼻窦神经纤维瘤一例

患者女,78岁,因渐进性鼻塞10余年于2009年1月入院.患者10年前自觉双侧鼻塞、流涕,无明显鼻出血、头痛及耳鸣,无发热.自行药物治疗,疗效不佳.鼻塞呈渐进性加重,左侧著,间或有脓性分泌物流出,伴轻度头痛,上呼吸道感染或劳累后明显加重.为进一步诊治,收入院.人院查体:外鼻宽大畸形,呈蛙状,左侧鼻腔内灰白色肿物,质软,表面附着少许胶冻样物,触之无明显出血,鼻中隔重度右偏,鼻腔内其他结构不可见,双侧上颌窦区轻压痛,耳及咽喉检查大致正常.     

鼻腔鼻窦恶性神经纤维瘤一例

头颅的恶性神经纤维瘤远少于良性,鼻腔鼻窦恶性神经纤维瘤很罕见,我院１９９５年１１月收治１例,报道如下。作者单位：６５０１０１昆明医学院第二附属医院耳鼻咽喉科（刘新华、刘咏虹）,病理科（莫华、杨琼）患者男,５９岁。左侧渐进性鼻堵１年余,鼻出血、头痛及右...     

鼻腔鼻窦恶性神经纤维瘤2例报告

鼻腔、鼻窦恶性神经纤维瘤比较少见 ,我科近二年遇到 2例 ,现报告如下。例 1,女 ,44岁。因左侧鼻腔鼻塞 ,流黄涕伴左面部胀痛于 1998年 4月到某县医院就诊 ,鼻腔活检证实为“神经纤维瘤”,行左侧上颌窦根治术 ,术后放疗 1个月 ,治愈出院。于 1998年 9月再次出现左侧鼻塞 ,左侧面部胀痛 ,经服消炎药 ,症状无改善 ,于同年 10月来我院就诊。入院检查 :T36 .8℃ ,P82次/分 ,R18次 /分 ,BP14/ 10 k Pa,一般情况好 ,心肺未闻及异常 ,头颈部未触及肿大淋巴结。专科情况 :左侧面部轻度隆起 ,无压痛、左侧鼻被灰白色新生物填满 ,质软 ;触诊不易出…     

鼻咽鼻腔鼻窦巨大神经纤维瘤1例

神经纤维瘤是一种神经源性良性肿瘤。我科手1995年收治1例原发于鼻咽部多部位巨大神经纤维瘤，现报告如下。患者，男，43岁。因持续进行性双鼻塞伴头晕2年，疑鼻咽纤维血管瘤收入院。患者自诉从未有具出血、头痛、耳鸣史。入院体检全身情况无特殊。鼻腔检会见双下鼻甲肥大，麻黄素液收缩良好。双侧鼻腔中后段可见肿物，个侧鼻腔肿块触之柔软，前缘有少许胶冻作分泌物，人倒鼻腔肿块触之稍硬，双侧鼻腔肿，块均为淡红色，不易出血。鼻咽部检查见鼻咽顶的唯有人小约2cm×4cm的肿块，其边缘达两侧咽鼓管咽口，呈淡红色，表面粘膜光滑，血管纹理…     

鼻腔鼻窦软骨瘤一例

患者女，46岁，因双侧鼻塞4年，当地医院就诊发现鼻咽肿物，鼻黏膜表面麻醉下取病理提示为软骨瘤，于2004年9月10日求我院。查体：鼻咽部堵满淡红色肿物，累及双侧鼻腔，鼻中隔受压变形，肿物表面不平，触之不易出血，硬腭受压塌陷。血，尿，便常规检查未见异常。MRI扫描；鼻咽腔实性占位，侵入右总鼻道中后部，肿物边界清楚，     

鼻腔鼻窦脊索瘤1例

患者,男,1岁3个月。左鼻持续性鼻塞1年3个月,左鼻唇沟处隆起3个月。体检:左鼻腔内见淡红色质软的新生物,表面似有包膜,光滑,填满整个鼻腔;中下鼻甲不能窥见,鼻中隔被推移,重度右偏。心肺检查正常。肝脾B超和血液分析结果正常。颈部、腋窝及腹股沟区未扪及肿大淋巴结。鼻     

鼻腔鼻窦毛细血管瘤1例

患者男 ,2 8岁 ,农民。因右鼻塞、间常鼻出血 6年 ,加重伴右侧头痛 2月入院。 1990年始出现右侧鼻塞 ,右鼻腔间歇性出血 ,多次在当地医院就诊 ,诊断为“鼻息肉” ,曾经在 1992年、1994年两次行“鼻息肉”摘除术 ,术后虽鼻腔通气改善 ,症状好转 ,但 3个月后鼻腔再次出血。近 2个月来右鼻腔完全阻塞 ;鼻出血频繁 ,为鲜红色 ,平均每日 50ｍｌ。体查 :右鼻腔充满淡红色半透明肿块 ,其前端见坏死及糜烂 ,触之极易出血。ＣＴ检查示右侧鼻腔 ,右上颌窦及前后组筛窦高密度影 ,上颌窦后外侧壁受压变薄。于 1996年 10月 15日在全麻下行右鼻侧切开 ,术…     

鼻腔鼻窦软骨瘤二例报告

鼻腔鼻窦软骨瘤二例报告杨森，刘苏辐鼻及鼻窦软骨瘤少见，本文报道２例。例１男，２８岁。因鼻塞、头痛１年余，外院行鼻中隔肿物病检，报告为＂软骨瘤＂转来我院。检查：中隔向两侧膨出，以右侧为甚，表面光滑，色淡红，触诊有弹性，质地中等。后鼻镜见肿物突向鼻后孔。...     

鼻腔鼻窦神经鞘瘤二例

鼻腔鼻窦神经鞘瘤二例郭睿王恩彤郭志祥例１男，２８岁，因右面部肿痛、麻木感３个月入院。查体：一般情况好，浅表淋巴结无肿大，右面部肿胀，上颌窦区有明显压痛，鼻腔内无新生物。右侧上颌窦内窥镜检查：窦腔内充满新生物，呈灰白色，表面不光滑，活组织检查报告为骨骼...     

Neurofibrosarcoma in the nasal cavity

A nine month old male child presented with a swelling protruding from the right nasal cavity for two months. Other symptoms were mild breathlessness during suckling and blood stained nasal discharge. CT Scan sshowed a mass arising from the lasteral wall of the right nasal cavity with mild erosion of the adjacent bones. The tumor was excised with wide margin through a lateral rhinotomy approach under general anaesthesia. In histopathological examination it was found to be a low grade neurofibrosarcoma. The child recovered well and is free from any recurrence till the time of reporting.     

Ectopic tooth in the nasal cavity

The eruption of a canine tooth into the nasal cavity constitutes one topographic form of dental ectopy. We report a case and discuss the diagnostic aspects and diverse pathogenic theories proposed. This unusual situation should be suspected in patients with nasal obstruction and unilateral fetid purulent rhinorrhea.     

Temperature profile in the nasal cavity

OBJECTIVES/HYPOTHESIS: Inspired air is heated and moistened as it passes the nasal cavity. The temperature increase should be similar to a heated tube model, depending on the airflow. STUDY DESIGN: Intranasal temperature values of 50 volunteers were measured after inspiration at different locations: nasal vestibule, nasal valve area, anterior to the head of the middle turbinate, and the nasopharynx. Temperature values were related to nasal airway resistance data. METHODS: Intranasal temperature measurements were made with a miniaturized thermocouple. Nasal airway resistance was detected by active anterior rhinomanometry. RESULTS: A logarithmic increase of air temperature from the anterior segment of the nose to the posterior part was noted. In the nasopharynx temperature was approximately 34 degrees C. The highest increase in temperature was observed in the nasal valve area. CONCLUSIONS: The temperature increase of ambient air in the nasal airways can be compared with a logarithmic curve of the heating of air passing a heated tube. As the heating of air is important for water transport, the space between the nasal valve and the middle turbinate is of special functional importance. No correlation to the results of rhinomanometry was found.