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女,48岁。左眼球后方和枕部疼痛,嗅觉失灵及听力减退而就诊,以鼻窦炎收住院。 X线所见:左侧各窦腔、中耳乳突均示云白色浑浊,鼻中隔弯曲,鼻腔软组织充填,气道消失,鼻咽部软组织块影;CT:左侧上颌窦、筛窦、额窦、蝶窦示充塞,筛蝶窦内有砂粒样钙化,各腔壁骨质显示毛糙,部分壁呈波浪状,但未见破坏。左乳突中耳区域呈云白色致密,气房消失。结论:多窦腔慢性炎症,坚实性乳突。 说明:单侧单腔或双侧双窦腔急慢性炎症较常见,多窦腔肉芽组织充塞伴坚实性乳突少见。经手术病理证实,本例为肉芽组织增生。多窦腔肉芽组织增生主要由于上颌窦腔
Female, 48 years old. Left eye and occipital pain, ocular failure and hearing loss and treatment, to sinusitis hospital. X-ray findings: the left sinus, middle ear mastoid were cloudy cloud white, nasal septum bending, nasal soft tissue filling, airway disappearance, nasopharyngeal soft tissue mass; CT: left maxillary sinus, ethmoid sinus, amount Sinus, sphenoid sinus showed stuffing, sieve sphenoid sinus calcification, the parietal bone showed rough, part of the wall was wavy, but no damage. The area of the left ear papilla in the middle ear is cloud white and dense, the air space disappears. Conclusion: Multiple sinus chronic inflammation, solid papillae. Description: unilateral single or bilateral double sinus acute and chronic inflammation is more common, multiple sinus granulation tissue stuffed with solid papillae rare. Surgical pathology confirmed, in this case, granulation tissue hyperplasia. Multiple sinus granulation tissue hyperplasia mainly due to maxillary sinus cavity