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目的:探讨引起鼻面部疼痛的微小鼻窦骨瘤的临床特点、诊断与治疗。方法:对21例引起鼻面部疼痛的微小鼻窦骨瘤患者的临床资料进行回顾性分析,所有患者均在鼻内镜下手术治疗。结果:术后所有患者鼻面部疼痛症状消失。1例患者术后出现眼眶青淤,其余患者无并发症发生。结论:微小鼻窦骨瘤引起的鼻面部疼痛临床少见,多由于骨瘤局部膨胀压迫致神经性鼻面部疼痛。及早诊断并行手术治疗可以显著改善患者鼻面部疼痛。
Objective: To investigate the clinical features, diagnosis and treatment of tiny sinus osteoma caused by nasal facial pain. Methods: A retrospective analysis was performed on the clinical data of 21 patients with nasal small facial sinusitis, and all patients underwent endoscopic sinus surgery. Results: Nasal and facial pain disappeared in all patients after operation. One patient had orbital glaucoma after operation, and the remaining patients had no complications. CONCLUSIONS: Nasal and facial pain caused by tiny sinus osteoma is uncommon and mostly due to the local swelling and compression of the osteoma, which results in the pain of the facial nerve. Early diagnosis of concurrent surgical treatment can significantly improve patients with nasal facial pain.