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Bacterial Ball in Concha Bullosa: Report of a Case With Unusual Location

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주제분류이비인후과학

초록

Choristoma, also known as a hairy polyp, is a rare benign mass that commonly occurs in thenasopharynx and oropharynx in the head and neck region. It is usually diagnosed in childrenand has rarely been reported in adults. In this study, we describe a nasopharyngeal choristomain an adult man. The mass was located at the lateral nasopharyngeal wall, and the patient ex-pressed intermittent nasal stuffiness and ear fullness. The mass was successfully removed us-ing an endoscopic approach. Since nasopharyngeal choristoma in adults is rare, it is importantto distinguish it from other benign tumors located in the nasopharynx or nasal cavity. In thisreport, we describe the radiologic characteristics of nasopharyngeal choristoma and summa-rize the importance of differential diagnosis from other benign masses.

Abstract

Choristoma, also known as a hairy polyp, is a rare benign mass that commonly occurs in thenasopharynx and oropharynx in the head and neck region. It is usually diagnosed in childrenand has rarely been reported in adults. In this study, we describe a nasopharyngeal choristomain an adult man. The mass was located at the lateral nasopharyngeal wall, and the patient ex-pressed intermittent nasal stuffiness and ear fullness. The mass was successfully removed us-ing an endoscopic approach. Since nasopharyngeal choristoma in adults is rare, it is importantto distinguish it from other benign tumors located in the nasopharynx or nasal cavity. In thisreport, we describe the radiologic characteristics of nasopharyngeal choristoma and summa-rize the importance of differential diagnosis from other benign masses.

참고문헌 (9)

  1. 김동규, "Bacterial Ball as an Unusual Finding in Patients With Chronic Rhinosinusitis", Clinical and Experimental Otorhinolaryngology, 11(1), pp.40~45 (2018), 대한이비인후과학회[DOI]
  2. Boiko NV, "Caseous rhinosinusitis : Fungal or bacterial ball?", Int J Otorhinolaryngol Clin, 11(3), pp.64~66 (2019)
  3. 최진웅, "만성 비부비동염에서 Biofilm이 수술 후 경과에 미치는 영향", 대한이비인후-두경부외과학회지, 53(6), pp.349~353 (2010), 대한이비인후과학회
  4. 김홍대, "무증상 혹은 재발성 급성 부비동염의 원인으로 작용하는 생물구: 2예", Journal of Rhinology, 23(1), pp.55~59 (2016), 대한비과학회
  5. Hyun Kyung Chang, "Clinical Characteristics Other Than Intralesional Hyperdensity May Increase the Preoperative Diagnostic Accuracy of Maxillary Sinus Fungal Ball", Clinical and Experimental Otorhinolaryngology, 13(2), pp.157~163 (2020), 대한이비인후과학회[DOI]
  6. Zinreich S, "Head and neck imaging", pp.149~173 (2003), Mosby
  7. Bent JP, "Anatomic principles of endoscopic sinus surgery. A step by step approach", Ann Otol Rhinol Laryngol, 114(12), pp.967~ (2005)
  8. Kazikdas KC, "Polyps in bilateral conchae bullosa", Ear Nose Throat J, 90(1), pp.12~ (2011)
  9. Cukurova I, "Extraordinary pathologic entities within the concha bullosa", Saudi Med J, 30(7), pp.937~941 (2009)

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