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患儿,男,4岁。因鼻唇都碰伤后右侧鼻阻、流脓涕、鼻面部肿胀3个月,于1989年3月9日入院。体检;T 37.5℃、右鼻背鼻翼及面部肿胀,右鼻前庭充满脓性分泌物,鼻腔内有异物阻塞,触之硬,有骨擦音。右上门牙缺如,齿槽凹处有一瘘口,内有少许分泌物,触探较深,与鼻腔相通,有异物阻挡感。X 线检查:瓦氏位片示右侧鼻腔完全不透光,有不规则骨性密度影,同侧上颌窦腔含气减少。1989年3月12日全麻下行右侧鼻腔及上颌窦探查术。术中见鼻腔有一较大黑色骨性物,用止血钳旋转后夹破,分三块取出,为一不规则骨性坏死组织;继之
Children, male, 4 years old. After the nose and lip bruises on the right nasal resistance, purulent tears, nasal swelling of the face for 3 months, on March 9, 1989 admitted. Physical examination; T 37.5 ℃, right nasal back nose and facial swelling, purulent secretions of the right nasal vestibule, foreign body obstruction in the nasal cavity, touch the hard, a bone fricative. Right upper incisors lack of teeth, alveolar recess has a fistula, a little secretions, probe deeper, and the nasal cavity, there is a sense of foreign objects blocking. X-ray examination: Valsalva shows the right nasal cavity is completely opaque, with irregular bony density shadow, ipsilateral maxillary sinus cavity reduced gas. March 12, 1989 under general anesthesia right nasal and maxillary sinus exploration. Surgery, see the nasal cavity has a larger black bone, with the clamp cut after rotation, divided into three pieces, as an irregular bone necrosis; followed by