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Spontaneous Healing Of The Crust Type Of Nasopharyngeal Bursitis

Lee, J. H. 2022Lymphoma

Lee J. H. (2022). Spontaneous Healing of the Crust Type of Nasopharyngeal Bursitis. Ear, nose, & throat journal, 101(10), NP451–NP452. https://doi.org/10.1177/0145561320980189

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Abstract

The nasopharyngeal bursa is an invaginated space that links the remnants of the notochord with the pharyngeal epithelium. Nasopharyngeal bursitis can occur in the midline of the upper portion of the nasopharynx if the notochord remnants and midline recess continue to persist. Nasopharyngeal bursitis, also known as Tornwaldt cyst, can be divided into cystic and crusting types. Crust types are relatively rare. Electrocauterization of the ulcerative lesion of the crust type is an effective and minimally invasive method. This report presents a case of crust-type nasopharyngeal bursitis that heals spontaneously without electrocauterization therapy.

Case Details

Disease Location

Nose

Personal Characteristics

51-year-old man

Clinical Characteristics

Referred for the evaluation of deep-seated nasal pain with postnasal discharge. He felt the aforementioned symptoms 2 months before his visit and was treated in a local clinic, but his symptoms did not improve. Endoscopic examination revealed an ulcer-like lesion covered with crusts in the midline of the upper posterior wall of the nasopharynx. Nasal endoscopy revealed that the ulcerative lesion was persistent 6 weeks after the first visit. At that time, he presented with postnasal discharge, having an unpleasant taste.

Remission Characteristics

Nasal endoscopy revealed complete recovery of the ulcerative lesion after 6 months of the first visit

Treatment & Mechanisms