Perforation of the palate

Introduction Perforation of the ankle caused by congenital factors or tumors can be seen in nasal malignant granuloma and pharyngeal tuberculosis. The symptoms of this condition are still acceptable, sweating, poor appetite, often low fever, a few have high fever, with general antibiotic treatment is invalid. Local examination showed swelling of the nasal mucosa, erosion and even ulceration, granulation, grayish white necrosis on the surface. More involvement of the inferior turbinate or nasal septum, obvious can cause external expansion of the nose, lesion development can cause perforation of the nasal septum or perforation of the ankle.

Cause

Caused by factors such as congenital factors or tumors.

an examination

Related inspection

Otolaryngology CT examination general radiography

1. Nasal malignant granuloma active period: nasal ventilation is not smooth or completely blocked, there are purulent sputum, often smelly. The general condition is acceptable, sweating, poor appetite, often low fever, a few have high fever, and treatment with general antibiotics is ineffective. Local examination showed swelling of the nasal mucosa, erosion and even ulceration, granulation, grayish white necrosis on the surface. More involvement of the inferior turbinate or nasal septum, obvious can cause external expansion of the nose, lesion development can cause perforation of the nasal septum or perforation of the ankle.

2. Nasopharyngeal tuberculosis often manifests as mucosal ulcer or granuloma formation. Patients may have nasal congestion, salivation, hearing loss, etc., which can be diagnosed in pathological examination. Oropharyngeal and laryngeal tuberculosis mainly include miliary or ulcer type. Miliary tuberculosis is often secondary to severe tuberculosis (such as miliary tuberculosis). It has obvious symptoms of systemic poisoning, sore throat, and can be emitted to the ear. , seriously affecting swallowing. The pharyngeal mucosa is pale, soft palate, sacral arch or posterior pharyngeal wall and other scattered large miliary nodules, and then rapidly developed into superficial ulcers, the edges are not neat, the surface is covered with filth exudate, ulcerative pharyngeal tuberculosis occurs in The zygomatic arch or the posterior wall of the pharynx, one or several places, develops slowly, and the ulcer can develop to the deep, causing soft palate perforation, zygomatic arch or uvula, and scarring or deformity after healing.

3. In the advanced stage of soft palate, dysphagia may occur, and sound changes may occur. Soft palate fixation, destruction, and perforation may cause food to flow back to the nasal cavity; upward or outward invasion of the nasopharynx or parapharyngeal space may have closed jaws, difficulty in opening the mouth, and otitis media. , ankle pain and occasional cranial nerve involvement.

Differential diagnosis

The ankle perforation needs to be identified as follows.

1. Nasal malignant granuloma active period: nasal ventilation is not smooth or completely blocked, there are purulent sputum, often smelly. The general condition is acceptable, sweating, poor appetite, often low fever, a few have high fever, and treatment with general antibiotics is ineffective. Local examination showed swelling of the nasal mucosa, erosion and even ulceration, granulation, grayish white necrosis on the surface. More involvement of the inferior turbinate or nasal septum, obvious can cause external expansion of the nose, lesion development can cause perforation of the nasal septum or perforation of the ankle.

2. Nasopharyngeal tuberculosis: often manifested as mucosal ulcer or granuloma formation, patients may have nasal congestion, salivation, hearing loss, etc., can be diagnosed in pathological examination. Oropharyngeal and laryngeal tuberculosis mainly include miliary or ulcer type. Miliary tuberculosis is often secondary to severe tuberculosis (such as miliary tuberculosis). It has obvious symptoms of systemic poisoning, sore throat, and can be emitted to the ear. , seriously affecting swallowing. The pharyngeal mucosa is pale, soft palate, sacral arch or posterior pharyngeal wall and other scattered large miliary nodules, and then rapidly developed into superficial ulcers, the edges are not neat, the surface is covered with filth exudate, ulcerative pharyngeal tuberculosis occurs in The zygomatic arch or the posterior wall of the pharynx, one or several places, develops slowly, and the ulcer can develop to the deep, causing soft palate perforation, zygomatic arch or uvula, and scarring or deformity after healing.

3. Late stage of soft palate: dysphagia may occur, and sound changes may occur. Soft palate fixation, destruction, and perforation may cause food to flow back to the nasal cavity; upward or outward invasion of the nasopharynx or parapharyngeal space may have closed jaws and difficulty in opening the mouth. Otitis media, ankle pain and occasional cranial nerve involvement.

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