Flukes Stephanie, Hanson Martin, Bott Matthew, Cohen Marc A
Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
OTO Open. 2020 Aug 27;4(3):2473974X20952699. doi: 10.1177/2473974X20952699. eCollection 2020 Jul-Sep.
Acquired internal nasal stenosis as a result of radiotherapy to the sinonasal region can be highly distressing for patients and difficult to correct surgically. We describe our experience using a controlled radial expansion balloon to dilate the area of stenosis, followed by stenting to the region. We achieved excellent results in 3 patients using this technique, with improvement in subjective nasal airflow across 100% of stenoses and complete resolution in 83%. This technique offers a simple and low-morbidity option for the management of acquired anterior nasal stenosis and is of particular value in cases of irradiation, which has the potential for poor tissue healing.
鼻窦区域放疗导致的获得性鼻内狭窄对患者来说可能非常痛苦，且手术矫正困难。我们描述了使用可控径向扩张球囊扩张狭窄区域，随后在该区域置入支架的经验。我们用这种技术治疗了3例患者，取得了优异的效果，100%的狭窄患者主观鼻气流得到改善，83%的患者完全缓解。该技术为获得性前鼻狭窄的治疗提供了一种简单且发病率低的选择，在组织愈合可能较差的放疗病例中具有特殊价值。
