Comparative analysis of the clinical manifestations and sinus CT imaging features of respiratory epithelial adenomatoid hamartoma and nasal polyps in the olfactory cleft
10.16066/j.1672-7002.2024.06.008
- VernacularTitle:嗅裂区呼吸道上皮腺瘤样错构瘤与鼻息肉患者临床表现及鼻窦CT特征的对比分析研究
- Author:
Mu XIAN
1
;
Xinyi WANG
;
Junfang XIAN
;
Yingshi PIAO
;
Luo ZHANG
Author Information
1. 首都医科大学附属北京同仁医院 耳鼻咽喉头颈外科,耳鼻咽喉头颈科学教育部重点实验室(首都医科大学),北京 100730
- Keywords:
Nasal Cavity;
Nasal Polyps;
Tomography,X-Ray Computed;
Diagnosis;
respiratory epithelial adenomatoid hamartoma
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2024;31(6):377-380
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze the differences in clinical and imaging characteristics of patients with respiratory epithelial adenomatoid hamatoma(REAH)and nasal polyps(NP)whose lesions are located in bilateral olfactory cleft regions,so as to provide evidence for clinicians in the preoperative differential diagnosis of REAH and NP.METHODS Patients with bilateral olfactory cleft REAH,who underwent nasal endoscopic surgery from June 2006 to August 2023 in Beijing Tongren Hospital,were retrospectively analyzed as the REAH group.Patients with bilateral olfactory cleft NP who underwent nasal endoscopic surgery from January 2023 to October 2023 in Beijing Tongren Hospital were included and set as the NP group.The demographic and clinical characteristics,as well as the sinus CT data were analyzed to explore the intergroup differences.RESULTS Both the REAH group and the NP group included 155 patients.The REAH group was dominated by older men,and the prevalence of comorbid asthma was lower than that in the NP group(P<0.05).In the REAH group,the middle turbinate width,the superior turbinate width,the ratio of middle turbinate width/orbital board width,the ratio of superior turbinate width/middle orbital board width,and the maximum angle between the middle turbinate and nasal septum were significantly higher than those in the NP group(P<0.05).CONCLUSION Sinus CT examination can help clinicians identify REAH lesions before surgery,which is conducive to the formulation and implementation of treatment plans.
