Yasar Husamettin, Ozkul M Haluk
Otorhinolaryngology Clinic, Vakif Gureba Training and Research Hospital, 34296 Istanbul, Turkey.
Am J Rhinol. 2007 Nov-Dec;21(6):716-8. doi: 10.2500/ajr.2007.21.3100.
A 51-year-old woman with bilateral congenital choanal atresia (CCA) is presented. She had episodes of respiratory distress that were relieved by crying and worsened by breastfeeding during her newborn period. No other abnormality had been documented during her early childhood period and she had not undergone any surgical intervention or trauma to the nose. No other congenital anomaly was noted.
The diagnosis was established by endoscopic examination and computed tomography (CT) scan of the paranasal sinuses.
She was treated successfully by a transnasal endoscopic surgical technique with short-term stenting. Follow-up examination 18 months after the surgery still showed patent neochoana.
According to the English literature, this case represents the oldest patient with bilateral CCA presenting for the first time in adult life.
本文报道了一名51岁双侧先天性后鼻孔闭锁（CCA）女性患者。她在新生儿期时有呼吸窘迫发作，哭闹时可缓解，母乳喂养时加重。幼儿期未记录到其他异常情况，且未接受过任何鼻部手术干预或外伤。未发现其他先天性异常。
通过鼻内镜检查和鼻窦计算机断层扫描（CT）确诊。
采用经鼻内镜手术技术并短期置入支架，成功对其进行了治疗。术后18个月的随访检查显示新后鼻孔仍通畅。
根据英文文献，该病例是成年后首次就诊的双侧CCA最年长患者。
