Tatar E Ç, Ozdek A, Akcan F, Korkmaz H
Department of Otolaryngology, Dışkapi Yildirim Beyazıt Training and Research Hospital, Ministry of Health, Ankara, Turkey.
J Laryngol Otol. 2012 Sep;126(9):949-51. doi: 10.1017/S0022215112001442. Epub 2012 Jul 9.
We describe a case of bilateral congenital choanal atresia in the oldest patient reported with this condition in the recent English language literature.
Case report and a review of the relevant English language literature, presenting the embryopathogenesis, diagnostic methods and treatment options for this condition.
A 53-year-old woman having difficulty with nasal breathing, and with a continuous nasal discharge, was admitted to our clinic. Bilateral congenital choanal atresia was diagnosed by endoscopic examination and paranasal sinus computed tomography. Surgical treatment used an endoscopic transnasal approach. The follow-up examination a year later revealed adequate choanal openings bilaterally.
To our knowledge, this is the oldest patient with bilateral congenital choanal atresia to be reported in the recent literature. This condition is rarely encountered in adulthood but should be considered as a possible differential diagnosis of persistent nasal obstruction.
我们描述了一例双侧先天性后鼻孔闭锁病例，该患者是近期英文文献报道中患有此病症年龄最大的患者。
病例报告及相关英文文献综述，介绍该病症的胚胎发病机制、诊断方法和治疗选择。
一名53岁女性因鼻呼吸困难且伴有持续流涕入住我院。通过内镜检查和鼻窦计算机断层扫描诊断为双侧先天性后鼻孔闭锁。手术治疗采用内镜经鼻入路。一年后的随访检查显示双侧后鼻孔开口正常。
据我们所知，这是近期文献报道中年龄最大的双侧先天性后鼻孔闭锁患者。这种情况在成年期很少见，但应被视为持续性鼻塞的一种可能鉴别诊断。
