鼻副鼻腔結石症の2症例

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Two cases of antrorhinolithiasis are reported.In the first case, the patient is a 48-year-old female who presented with a 4-year history of foul smell in the left side of the nose and headache. X-ray examination revealed calcification in the left antrum. Exploratory antrotomy revealed an antrolith which measured 15×15×10mm, weighed 1.5g and was mainly composed of calcium bicarbonate and phosphate.In the second case, a 68-year-old female presented with bloody nasal discharge of eighteen months' duration. One week before her visit, headache developed. Anterior rhinoscopic examination revealed a rhinolith in the right middle nasal meatus. The calculus measured 5×10×30mm and weighed 1.3g. X-ray examination revealed calcification in the right middle meatus and in the right antrum. Exploratory antrotomy showed three osteoma masses of little-finger-head size. Both patients had been afflicted with chronic sinusitis.
耳鼻咽喉科臨床学会の論文