於鼻中隔成形術後痊癒之局部慢性鼻咽黏膜炎

Chronic Localized Nasopharyngeal Mucositis Healed After Septoplasty

陳建志(Jiann-Jy Chen) ； 陳登郎(Dem-Lion Chen)

《台灣耳鼻喉頭頸外科雜誌》 44卷1期 (2009/02) Pp. 21-24

https://doi.org/10.6286/2009.44.1.21

摘要

慢性鼻咽黏膜炎應先設法排除鼻咽腫瘤、自體免疫疾病、放射治療、化學治療後黏膜炎或胃食道逆流等疾病，進而給予適切的治療。一52歲男性，因鼻咽疼痛、咳血痰及左側鼻塞7年半，除了左側鼻中隔彎曲外，鼻咽部位呈現紅腫、潰瘍與出血，曾接受過鼻咽切片，病理報告爲慢性發炎，其他血液學檢查均爲正常，上消化道內視鏡檢亦無異常發現，可是，所有的保守治療均無法治癒其病症，最後竟於接受鼻中隔成形術後1個月痊癒；追蹤迄今已逾2年，尚無復發。

關鍵字

慢性鼻咽黏膜炎 ； 鼻中膈成形術

並列摘要

Chronic nasopharyngeal mucositis should be diagnosed and treated after nasopharyngeal neoplasm, autoimmune, post-radiotherapy, post-chemotherapy mucositis or gastroesophageal reflux was ruled out. A 52-year-old male presented with nasopharyngeal pain, blood-tingled sputum and left nasal stuffiness for 7.5 years. Septal deviation to left side, and injection, ulceration, and mild oozing of nasopharynx were identified. Nasopharyngeal biopsy revealed chronic inflammation, and other blood examinations reported normal. Upper digestive scopy revealed normal. However, all conservative treatment failed to cure off his disease. Unexpectedly, one month after septoplasty, the disease was cured. Then the postoperative course was uneventful in the following two years.

並列關鍵字

chronic nasopharyngeal mucositis ； septoplasty