Mumbuç Semih, Karataş Erkan, Durucu Cengiz, Ozer Enver, Kanlikama Muzaffer
Department of Otolaryngology, Medicine Faculty of Gaziantep University, Gaziantep, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2007;17(2):85-9.
We evaluated the results of endoscopic repair for choanal atresia.
Ten patients (2 males, 8 females) underwent transnasal endoscopic repair for choanal atresia. Involvement was unilateral in five cases and bilateral in five cases. Unilateral patients were treated at a mean age of 22.6 years (range 1 to 44 years), while bilateral cases were treated within the first six days of life. Two patients with bilateral involvement had associated polydactyl and tracheoesophageal fistula, respectively. The mean follow-up period was 26 months (range 8 to 56 months).
No postoperative complications such as significant hemorrhage, injury to the skull base, cerebrospinal fluid fistula, septal perforation, or granulation tissue formation were encountered. All the patients had choanal patency at the end of six months.
Endoscopic repair of choanal atresia is effective in both unilateral and bilateral cases.
我们评估了后鼻孔闭锁的内镜修复结果。
10例患者（2例男性，8例女性）接受了经鼻内镜下后鼻孔闭锁修复术。5例为单侧受累，5例为双侧受累。单侧患者的平均治疗年龄为22.6岁（范围1至44岁），而双侧病例在出生后的头6天内接受治疗。2例双侧受累患者分别合并多指畸形和气管食管瘘。平均随访期为26个月（范围8至56个月）。
未出现术后并发症，如严重出血、颅底损伤、脑脊液瘘、鼻中隔穿孔或肉芽组织形成。所有患者在6个月末时后鼻孔均通畅。
内镜修复后鼻孔闭锁在单侧和双侧病例中均有效。
