經鼻腔穿至顱底之長期滯留異物

鼻腔異物為耳鼻喉科常見之疾病，本院耳鼻喉科於2010年經歷一鼻腔異物病例，該患者為65歲男性病患，求診時主訴自2月底開始聽力愈來愈差，同時有耳鳴現象，症狀長達2個禮拜，經由本院聽力檢查發現右耳積水，進一步檢查鼻腔，發現鼻腔內有一金屬的堅硬異物，做一系列檢查顯示異物已達腦膜前1.5 cm處，深怕傷及顱內腦組織與腦神經，經安排血管攝影檢查，發現異物未傷及血管，已穿過顱底但未穿透腦膜。因病患鼻腔插入異物位置特殊，手術風險極高，經使用鼻竇硬式內視鏡從鼻腔內取出異物後，發現是斷掉一截約9 cm的天線桿，術後病患並無腦脊髓液外漏。

關鍵字

異物；前顱底；鼻腔

並列摘要

A nasal foreign body is an accident commonly seen in the otolaryngology service. In 2010, a 65-year-old male patient with a nasal foreign body presented at the outpatient clinic of our department. The patient had hearing impairment accompanied by tinnitus, which had lasted for two weeks. An audiometric examination revealed right middle ear effusion, and a hard metallic foreign body was found within the nasal cavity during further physical examination. Subsequent examination showed that the foreign body reached 1.5 cm close to the meningeal layer but had not penetrated the dura. Angiography examination confirmed that no major vessels were involved, though the foreign body had penetrated through the skull base. Due to the location of the foreign body, surgical removal was highly risky. We therefore employed an endoscopic transnasal approach to remove the foreign body, and found it to be a broken fragment of an antenna of 9 cm in length. Postoperative examination revealed that the patient did not show signs of cerebrospinal fluid leakage.

並列關鍵字

foreign body ； anterior cranial fossa ； nasal cavity

國際替代計量

經鼻腔穿至顱底之長期滯留異物

全文下載

主題瀏覽