Spontaneous Healing Of The Crust Type Of Nasopharyngeal Bursitis
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
View Original Source →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
Nasopharynx
Personal Characteristics
51-year-old man
Clinical Characteristics
Referred for the evaluation of deep-seated nasal pain with postnasal discharge. He felt the symptoms 2 months before his visit. Endoscopic examination revealed an ulcer-like lesion covered with crusts in the midline of the upper posterior wall of the nasopharynx. MRI revealed no significant local mucosal thickening or enhancing lesion in the mucosal wall of the nasopharynx and rosenmuller fossa. The endoscopic and MRI findings were suggestive of crust-type nasopharyngeal bursitis
Remission Characteristics
Nasal endoscopy revealed complete recovery of the ulcerative lesion after 6 months of the first visit
Treatment & Mechanisms
Non-Clinical Treatment
None reported