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患者,男,62岁。2个月前无明显诱因出现右侧鼻塞,持续性、进行性加重,右耳听力下降,且伴耳内胀闷感。在当地医院以鼻炎、分泌性中耳炎治疗1周无好转,转来我院。检查:右鼻粘膜充血,鼻腔后段外侧壁内移,下鼻道狭窄。左鼻腔未见异常。鼻咽部见右后鼻孔外侧壁翼突内板隆起,堵满后鼻孔,鼻咽部无异常。右外耳道通畅,鼓膜内陷,鼓气耳镜检查鼓膜活动受限。音叉试
Patient, male, 62 years old. 2 months ago there was no obvious incentive to the right nasal obstruction, persistent, progressive increase in hearing loss on the right ear, and with ear swelling feeling. Rhinitis in the local hospital, secretory otitis media 1 week without improvement, transferred to our hospital. Check: Right nasal mucosa congestion, nasal posterior segment of the lateral wall shift, lower nasal stenosis. Left nasal cavity no abnormalities. Nasopharyngeal see the right nostril lateral wall wing protruding within the board, plugging after the nostril, nasopharyngeal no abnormalities. Right external auditory canal patency, tympanic membrane retraction, tympanic examination of tympanic membrane activity limited. Tuning fork test