Md Ali Saidatur Rabiqah Adawiyah, Mohd Nor Khadijah, Abu Bakar Saraiza, Sheikh Ab Hamid Suzina
Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, 16150 Malaysia.
Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Selayang, Lebuhraya Selayang-Kepong, Batu Caves, 68100 Selangor Malaysia.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5861-5863. doi: 10.1007/s12070-024-04924-0. Epub 2024 Aug 7.
We present a case report of congenital nasal pyriform aperture stenosis, in which the child was managed with a series of less invasive surgical procedures, which were eventually followed by repair via a sublabial approach. This case report aims to highlight that in severe stenosis, earlier open surgical intervention with bone drilling is suggested, as dilatation alone will result in recurrent stenosis. Open surgery with bone drilling not only facilitates faster recovery but also aids in oxygen weaning, shortens hospitalization duration, and reduces the risk of complications.
我们报告一例先天性鼻梨状孔狭窄病例，该患儿接受了一系列侵入性较小的外科手术治疗，最终通过唇下途径进行修复。本病例报告旨在强调，在严重狭窄的情况下，建议早期进行带骨钻孔的开放性手术干预，因为单纯扩张会导致复发性狭窄。带骨钻孔的开放性手术不仅有助于更快康复，还有助于脱机吸氧、缩短住院时间并降低并发症风险。
