后鼻孔填塞致鼻咽部巨大肉芽1例

One case of big nasopharynx granulation caused by postnasal packing

患者,男,44岁。因＂咽部不适感4个月余＂于2012-07-23来我院就诊。患者于4个多月前因鼻出血行左鼻腔后鼻孔纱球填塞治疗,并予抗感染止血药物处理,3 d后取出后鼻孔纱球后感咽部异物感,无咽痛咳嗽,无鼻塞流涕,鼻腔、鼻咽部及喉部检查均未见明显异常,近期感咽部不适感加重。

In April of this year,one patient was under left posterior nostril packing treatment with gauze balls as his left nostril bleeding.3 days later the balls were removed.Soon after,he had foreign body sensation in his throat and the discomfort was increasingly severe.Under electronic laryngoscopy a big neoplasm like nasopharynx granulation was discovered and therefore resected when he was in general anesthesia.Under light microscope,it was found out that the neoplasm had fibrogenesis,angiogenesis,infiltration and interstitial osteoporosis edema.In pathological diagnosis,it was nasopharyngeal inflammatory granulation tissue.