咽鼓管圆枕淀粉样变性伴中耳积液1例并文献复习
Amyloidosis of torus tubalis with middle ear effusion:a case report with literature review
林云仙 1马玲国1
作者信息
- 1. 暨南大学第二临床医学院 耳鼻咽喉科,广东 深圳 518020
- 折叠
摘要
目的 探讨咽鼓管圆枕局部淀粉样变性的临床特征及诊疗.方法 回顾分析 1 例咽鼓管圆枕淀粉样变性伴中耳积液的病例资料.总结病例特点、诊疗方法并复习相关文献.结果 患者反复左侧中耳积液,保守治疗不佳.电子鼻咽镜检查发现双侧咽鼓管圆枕肥大,活检后提示淀粉样变性,排除系统性淀粉样变性,行经鼻内镜双侧咽鼓管圆枕病灶等离子射频消融术.术后随访1 年,患者恢复良好,未见复发及进展为系统性淀粉样变性.结论 淀粉样变性发生在咽鼓管圆枕比较罕见,对于其引起临床症状保守治疗不佳时可行手术治疗,排除其他系统累及可能尤为重要,且术后应密切随访.
Abstract
Objective The purpose of this study is to investigate the clinical characteristics and treatment of localized amyloidosis of torus tubalis.Methods We retrospectively analyzed the amyloidosis of torus tubalis with middle ear effusion,summarized the characteristics,performed diagnosis of the clinical case,and reviewed relevant literature.Results The patient had repeated hydrops in the left middle ear,and conservative treatment was poor for this case.Electronic nasopharynx examination showed bilateral torus tubalis hypertrophy,and amyloidosis was recommended after biopsy.The examination was completed to exclude systemic amyloidosis.Lesions of bilateral torus tubalis were removed through operation with low-temperature plasma radio-frequency ablation.After one year of follow-up,the patient recovered well,and no recurrence or progression to systemic amyloidosis was observed.Conclusion Amyloidosis is rare in the torus tubalis.Surgical treatment is feasible when the clinical symptoms are not treated conservatively.In particular,it is crucial to exclude systemic amyloidosis,and postoperative follow-up should be closely followed.
关键词
淀粉样变性/咽鼓管圆枕/中耳积液Key words
Amyloidosis/Torus tubalis/Middle ear effusion引用本文复制引用
出版年
2024
NETL
NSTL
万方数据