Otorhinolaryngology Department, Mansoura University, Mansoura, Egypt.
Eur Arch Otorhinolaryngol. 2012 Aug;269(8):1993-7. doi: 10.1007/s00405-012-1970-2. Epub 2012 Feb 23.
The objective of this study is to describe a simple surgical procedure for management of acquired total nasopharyngeal obstruction in adults. Five patients were diagnosed as having complete nasopharyngeal obstruction over a 3-year period. Three patients previously underwent uvulopalatoplasty, while for the remaining two it was due to pharyngoscleroma. In all the patients, nasopharyngeal obstruction was at the level of the inferior edge of the soft palate. Two of the post-uvulopalatoplasty patients had recurrent obstruction after scar excision and topical application of mitomycin-C without stenting. All the patients were treated surgically by creation of a new anatomical nasopharyngeal isthmus and stenting it by nasopharyngeal airway for 6 months. All the patients experienced satisfactory results and good tolerability to airway placement. The nasopharyngeal airway can counteract the inevitable scar contraction of the new nasopharyngeal isthmus after surgical correction and maintain its patency.
本研究旨在描述一种用于治疗成人后天性完全性鼻咽闭锁的简单手术方法。3 年间共诊断了 5 例完全性鼻咽闭锁患者。其中 3 例患者曾行悬雍垂腭咽成形术，其余 2 例为咽硬结病所致。所有患者的鼻咽闭锁均位于软腭下缘水平。2 例悬雍垂腭咽成形术后患者在瘢痕切除及局部应用丝裂霉素 C 后，虽未放置支架，但仍再次出现阻塞。所有患者均通过创建新的解剖鼻咽峡部并通过鼻咽气道置入支架（6 个月）进行手术治疗。所有患者均获得了满意的结果，对气道置入具有良好的耐受性。鼻咽气道可对抗手术矫正后新鼻咽峡部不可避免的瘢痕收缩，保持其通畅性。
