悬雍垂腭咽成形术后鼻咽狭窄的处理
Management of nasopharyngeal stenosis after uvulopalatoplasty.
作者信息
Krespi Y P, Kacker A
机构信息
Department of Otolaryngology/Head and Neck Surgery, St Luke's-Roosevelt Hospital Center and New York Presbyterian Hospital, USA.
出版信息
Otolaryngol Head Neck Surg. 2000 Dec;123(6):692-5. doi: 10.1067/mhn.2000.110962.
OBJECTIVE
The objective of this study is to evaluate the management of nasopharyngeal stenosis (NPS) with the CO(2) laser and a customized nasopharyngeal obturator.
STUDY DESIGN
An 8-year retrospective study based at a tertiary care teaching hospital consisting of 18 patients with NPS after uvulopalatoplasty treated over an 8-year period with the CO(2) laser and a nasopharyngeal obturator. Patients with grade I stenosis were treated in the office and did not require a nasopharyngeal obturator. More severe cases (grades II and III) were treated in the operating room and required a nasopharyngeal obturator.
RESULTS
Eighteen patients with NPS, stages I to III, were treated with a CO(2) laser with or without a nasopharyngeal obturator with good results.
CONCLUSION
The repair of NPS with a CO(2) laser and a nasopharyngeal obturator in severe cases helps in restoring nasopharyngeal patency.
SIGNIFICANCE
This technique provided a reliable method of correcting postuvulopalatoplasty NPS.
目的
本研究的目的是评估使用二氧化碳激光和定制的鼻咽阻塞器治疗鼻咽狭窄（NPS）的效果。
研究设计
一项在三级护理教学医院进行的为期8年的回顾性研究，该研究纳入了18例在8年期间接受悬雍垂腭咽成形术后出现鼻咽狭窄的患者，采用二氧化碳激光和鼻咽阻塞器进行治疗。I级狭窄患者在门诊治疗，无需使用鼻咽阻塞器。病情较重的病例（II级和III级）在手术室治疗，需要使用鼻咽阻塞器。
结果
18例I至III期鼻咽狭窄患者接受了二氧化碳激光治疗，使用或未使用鼻咽阻塞器，均取得了良好效果。
结论
在严重病例中，使用二氧化碳激光和鼻咽阻塞器修复鼻咽狭窄有助于恢复鼻咽通畅。
意义
该技术为纠正悬雍垂腭咽成形术后鼻咽狭窄提供了一种可靠的方法。
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