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因古法经鼻腔冲洗导致腭咽狭窄:病例报告

The ancient practice of sutra neti leading to velopharyngeal stenosis: case report.

作者信息

Tiwana H, Virk R S, Gautam V

机构信息

Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

J Laryngol Otol. 2019 Aug;133(8):730-732. doi: 10.1017/S0022215119001142. Epub 2019 Jun 7.

DOI:10.1017/S0022215119001142
PMID:31172891
Abstract

BACKGROUND

An ancient yoga technique called sutra neti, which is extensively used in India to keep the sinuses healthy, led to complete velopharyngeal stenosis in a 67-year-old male patient who presented with bilateral nasal obstruction, mouth breathing, anosmia and a change in voice.

METHOD

The patient was diagnosed by nasal endoscopy using a zero-degree Hopkins rod endoscope, and adhesions were released using coblation.

RESULTS

The patient had post-operative alleviation of symptoms and a patent velopharyngeal inlet on examination.

CONCLUSION

Vigorous sutra neti can lead to velopharyngeal stenosis. Release of the stenosis is then required to cure the nasal blockade.

摘要

背景

一种名为经咒洗鼻的古老瑜伽技巧,在印度被广泛用于保持鼻窦健康,但却导致一名67岁男性患者出现完全性腭咽狭窄,该患者表现为双侧鼻塞、张口呼吸、嗅觉丧失及声音改变。

方法

使用0度Hopkins杆状内镜通过鼻内镜对患者进行诊断,并使用低温等离子消融术松解粘连。

结果

患者术后症状缓解,检查发现腭咽入口通畅。

结论

剧烈的经咒洗鼻可导致腭咽狭窄。随后需要解除狭窄以治愈鼻塞。

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