Stankiewicz J A
Department of Otolaryngology, Head and Neck Surgery, Loyola University Medical Center, Maywood, IL 60154.
Otolaryngol Head Neck Surg. 1990 Dec;103(6):931-7. doi: 10.1177/019459989010300608.
Since 1755, when choanal atresia was first described by Roederer, more than 300 papers have appeared in the literature dealing with various aspects of choanal atresia. Today's preferred methods of repair are transnasal and transpalatal. Each method has its advantages, disadvantages, proponents, and opponents. The main disadvantage of the transnasal procedure is limited vision, even with a microscope, especially in newborn infants, and the inability to adequately remove enough vomerine septal bone to prevent restenosis. Endoscopic transnasal repair of choanal atresia provides excellent visualization and the ability to perform exact surgery on patients of all ages. Described are four patients who underwent endoscopic repair of choanal atresia. Three of the four have patent nares, one patient after revision surgery. The technique is discussed along with its advantages and disadvantages relative to other surgical treatment modalities.
自1755年罗德雷尔首次描述后鼻孔闭锁以来，文献中已出现300多篇论述后鼻孔闭锁各方面情况的论文。如今，首选的修复方法是经鼻和经腭方法。每种方法都有其优缺点，都有支持者和反对者。经鼻手术的主要缺点是视野受限，即使使用显微镜也是如此，尤其是在新生儿中，而且无法充分去除足够的犁骨鼻中隔骨以防止再狭窄。内镜下经鼻修复后鼻孔闭锁能提供极佳的视野，并且有能力对所有年龄段的患者进行精确手术。本文描述了4例接受内镜下后鼻孔闭锁修复术的患者。4例中有3例鼻孔通畅，其中1例是在翻修手术后。文中讨论了该技术及其相对于其他手术治疗方式的优缺点。
