内镜经鼻修复后鼻孔闭锁
Endoscopic transnasal repair of choanal atresia.
作者信息
Yaniv Eitan, Hadar Tuvia, Shvero Jacob, Stern Yoram, Raveh Eyal
机构信息
Nose and Sinus Institute, Rabin Medical Center, Beilinson Campus, Petah Tiqva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
Int J Pediatr Otorhinolaryngol. 2007 Mar;71(3):457-62. doi: 10.1016/j.ijporl.2006.11.012. Epub 2007 Jan 4.
OBJECTIVES
To present our experience with a new endoscopic technique for transnasal repair of choanal atresia.
METHODS
Seventeen patients aged 2 months to 13 years with choanal atresia, bilateral in 6 and unilateral in 11, underwent endoscopic repair using a mucoperichondrial flap developed from the nasal septum. The bony stenosis was opened with a surgical curette or drill, and the raw surface was covered by the flap. All patients in these case series with bilateral atresia had been treated with dilatation at birth and had restenosis.
RESULTS
A total of 23 choanae were operated. Follow-up ranged from 10 to 60 months. There was one case of complete restenosis and one of partial restenosis, for a success rate of 91%.
CONCLUSIONS
Endoscopic repair of choanal atresia is a safe and rapid procedure even in very young children, with no complications and a high rate of success.
目的
介绍我们使用一种新的内镜技术经鼻修复后鼻孔闭锁的经验。
方法
17例年龄在2个月至13岁的后鼻孔闭锁患者，其中双侧闭锁6例，单侧闭锁11例，采用鼻中隔黏膜软骨膜瓣进行内镜修复。用手术刮匙或钻头打开骨性狭窄，创面用瓣覆盖。这些病例系列中所有双侧闭锁的患者在出生时均接受过扩张治疗且出现了再狭窄。
结果
共对23个后鼻孔进行了手术。随访时间为10至60个月。有1例完全再狭窄和1例部分再狭窄，成功率为91%。
结论
即使对于非常年幼的儿童，内镜修复后鼻孔闭锁也是一种安全、快速的手术，无并发症且成功率高。
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