【摘要】 本文报道了1例咽鼓管毛息肉患儿的诊疗过程。患儿，女，1岁4个月，因“左耳间断流脓、鼻塞伴睡眠打鼾1年”就诊，术前内镜检查发现双侧鼻腔后端白色肿物。影像学检查：左侧咽鼓管走行区及鼻咽腔后壁区索条状及类圆形混杂信号包块伴轻度不均匀强化，左侧中耳鼓窦可见软组织密度影。明确无手术禁忌证后，于全身麻醉下行耳显微镜下左侧乳突改良根治术+鼓室成形术+鼻内镜下左侧咽鼓管探查术+肿物剥离术，病理学检查诊断为左侧咽鼓管毛息肉。术后患儿症状改善，随访3个月未见肿物复发。更多还原

【Abstract】 This paper reports the diagnosis and treatment of a child with eustachian hairy polyp. The patient was a female, aged 1 year and 4 months, and visited our clinic due to "intermittent purulent discharge of the left ear, nasal congestion and sleep snoring for 1 year". Preoperative endoscopic examination found white masses at the posterior part of the nasal cavity on both sides. The imaging findings showed masses with streaks and circular-like mixed signal accompanied by slightly uneven enhancement at the left eustachian duct and the posterior wall of the nasopharyngeal cavity, and soft tissue density in the left tympanic antrum. Left modified radical mastoidectomy and radical endoscopic resection surgery for nasopharyngeal tumors was performed under general anesthesia. Histopathological examination revealed polyp of the left eustachian tube hair. The patient’s symptoms improved after surgery, and no tumor recurrence was found after 3 months of follow-up.更多还原