• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Dental and Medical Problems >Difficulties in diagnosing and treating nasal rhinoscleroma: A case study
【24h】

Difficulties in diagnosing and treating nasal rhinoscleroma: A case study

机译：鼻鼻硬化症的诊断和治疗困难：一个案例研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Abstract For many years scleroma was considered to be a neoplastic tumor. First findings of this disease came from the 4th century. In the 18th century it was also called the leprosy of the nose. In 1840, a Polish surgeon was the first in the world to describe rhinoscleroma as a “chronic nose cancer”. In late 1877, Jan Mikulicz-Radecki classified this scleroma as rhinoscleroma, an inflammatory disease with the most common occurrence in the nasal cavity. Because of very rare cases of this disease reported nowadays (endemic), its treatment is challenging. The disease manifests itself as a symptomatic mass causing mostly an obstruction of nasal breathing or even local nose bleeds, and infiltrates the surrounding structures of the nose and sinuses. Difficult accurate clinical diagnosis of this disease seems to be the main problem in its early detection and treatment. Apart from a surgical excisional biopsy or more radical surgical approach, additional antibiotic treatment, along with routine checkups by an infectious diseases specialist, should be maintained. A very rare and unusual case of a 75-year-old retired otolaryngologist diagnosed with a symptomatic mass in the nasal cavity, treated previously by unknown methods and without any success, will be presented. It is worth noticing that either the patient’s economic status or his past job as an otolaryngologist might be related to the occurrence of rhinoscleroma as the possible route of infection.
机译：摘要多年来，巩膜瘤一直被认为是一种肿瘤性肿瘤。该病的第一个发现来自4世纪。在18世纪，它也被称为鼻子的麻风病。 1840年，波兰外科医生是世界上第一个将鼻巩膜瘤描述为“慢性鼻癌”的医生。 1877年末，Jan Mikulicz-Radecki将这种巩膜瘤归类为鼻巩膜瘤，这是一种炎症性疾病，最常见于鼻腔。由于当今报道的该病非常罕见（地方病），因此其治疗具有挑战性。该病表现为症状性肿块，主要引起鼻呼吸阻塞，甚至局部流鼻血，并渗入鼻子和鼻窦周围的结构。这种疾病的难以准确的临床诊断似乎是其早期发现和治疗的主要问题。除了外科切除活检或更彻底的外科手术方法外，还应维持额外的抗生素治疗以及传染病专家的常规检查。将介绍一个非常罕见和不寻常的案例，该案例是一名75岁的退休耳鼻喉科医生，其被诊断出鼻腔有症状性肿块，以前曾用未知方法治疗，但未成功。值得注意的是，患者的经济状况或他过去作为耳鼻喉科医师的工作都可能与鼻巩膜瘤的发生有关，这是可能的感染途径。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号