Eladl Hesham Mohammad
ORL Department, Mansoura University Hospital, Mansoura University, Elteraa Rd, abo Hanifa St, Mansoura, Egypt.
J Laryngol Otol. 2010 Apr;124(4):387-92. doi: 10.1017/S0022215109991861. Epub 2009 Nov 25.
To evaluate current concerns about transnasal endoscopic repair of bilateral congenital choanal atresia, regarding technical difficulties, prognostic factors and important controversies.
Ten infants with bilateral congenital choanal atresia, aged from 3 to 27 days (mean, 11.2 days) were included. All cases underwent transnasal endoscopic repair and were clinically and endoscopically monitored.
Of the seven patients treated with stenting, five remained patent and two required minor debridement (with complete patency thereafter). Of the three patients treated without stenting, one remained patent and two required minor debridement (with patency thereafter).
Transnasal endoscopic repair of bilateral congenital choanal atresia is a safe and successful technique. The use of powered instrumentation in neonatal patients requires experience and a correctly sized drill. Stenting with an appropriate nasal tube for a suitable period is favoured, especially in hospitalised patients.
评估目前关于经鼻内镜修复双侧先天性后鼻孔闭锁在技术难点、预后因素及重要争议方面的相关问题。
纳入10例双侧先天性后鼻孔闭锁的婴儿，年龄3至27天（平均11.2天）。所有病例均接受经鼻内镜修复，并进行临床及内镜监测。
7例行支架置入治疗的患者中，5例保持通畅，2例需要轻微清创（此后完全通畅）。3例未行支架置入治疗的患者中，1例保持通畅，2例需要轻微清创（此后通畅）。
经鼻内镜修复双侧先天性后鼻孔闭锁是一种安全且成功的技术。在新生儿患者中使用动力器械需要经验及尺寸合适的钻头。推荐在适当时间使用合适的鼻管进行支架置入，尤其是住院患者。
