24岁女性双侧后鼻孔闭锁：病例报告
Bilateral Choanal Atresia in 24 Years Old Woman: A Case Report.
作者信息
Easa Sabry Habashy, Selim Ahmed Nabil, Elswaby Elsayed Said, Elbakry Abobakr Mohammed
机构信息
Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Assiut, 71511 Egypt.
Medical Research Group of Egypt (MRGE), Negida Academy, Arlington, MA USA.
出版信息
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4784-4787. doi: 10.1007/s12070-024-04848-9. Epub 2024 Jul 9.
BACKGROUND
Choanal atresia is a congenital anomaly characterized by an absence of the nasal choanae due to Failure to recanalize the nasal fossae during embryogenesis. Instances involving unilateral Choanal atresia may go unidentified for extended periods. Bilateral choanal atresia presenting in adulthood is an infrequent occurrence.
CASE PRESENTATION
A case of bilateral choanal atresia in a female 24-year-old presenting to our otolaryngology department's out clinics with long-standing nasal obstruction, mouth breathing, and anosmia. She underwent endoscopic choanoplasty to reestablish patency of the posterior choana. Follow-up after one month revealed patent posterior choana.
CONCLUSION
Bilateral choanal atresia requires early surgical intervention in infants for survival. Adult presentations are rare. Nasal endoscopy and CT help determine the surgical approach. Endoscopic trans-nasal Chonaolplasty is typically the standard treatment.
背景
后鼻孔闭锁是一种先天性异常，其特征是在胚胎发育过程中鼻窝未能再通，导致鼻后孔缺失。单侧后鼻孔闭锁的病例可能长时间未被发现。成年期出现双侧后鼻孔闭锁的情况并不常见。
病例报告
一名24岁女性因长期鼻塞、张口呼吸和嗅觉丧失前来我院耳鼻喉科门诊就诊，诊断为双侧后鼻孔闭锁。她接受了内镜下后鼻孔成形术以重建后鼻孔通畅。术后一个月的随访显示后鼻孔通畅。
结论
双侧后鼻孔闭锁的婴儿为了生存需要早期手术干预。成人病例罕见。鼻内镜检查和CT有助于确定手术方法。内镜经鼻后鼻孔成形术通常是标准治疗方法。
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