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1病例报告患者,女,39岁,因反复双耳流脓10余年,发现右侧蝶窦囊肿1d入院。门诊行颞骨CT示:双侧慢性中耳乳突炎影像;右侧蝶窦黏液囊肿,鼻中隔偏曲。追问现病史,除双耳反复流脓,伴有渐进性听力下降外,无视力下降,无鼻阻、脓涕及涕中带血,无嗅觉减退,无头痛、头晕、发热等。专科检查:双耳鼓膜大穿孔,双外耳道见少量黄色脓性分泌物,鼻中隔稍向左偏,余未见明显异常,各窦区无压痛。鼻旁窦冠状位CT平扫示:右侧蝶窦可见囊状
A case report patients, female, 39 years old, due to repeated ear pus more than 10 years and found the right sphenoid cyst 1d admission. Outpatient temporal bone CT showed: bilateral chronic otitis media mucocutaneous; right sphenoid mucocele, nasal septum deviation. Inquired about the current history, in addition to repeated ear pus, accompanied by progressive hearing loss, no loss of vision, no nose resistance, purulent nasal discharge and tears in the blood, no sense of smell, no headache, dizziness, fever and so on. Specialist examination: a large perforation of the tympanic membrane, double ear canal see a small amount of yellow purulent secretions, nasal septum slightly left deviation, I no obvious abnormalities, the sinus area without tenderness. Paranasal sinuses CT scan showed: the right sphenoid sinus sac