Strome M, Hengerer A S
J Laryngol Otol. 1984 Dec;98(12):1207-12. doi: 10.1017/s0022215100148285.
Taking cognizance of the embryology and newer diagnostic techniques, the transpalatal route is strongly recommended as the optimal surgical procedure for the management of choanal atresia. It should be performed as soon as general anesthesia can be safely administered. In selected instances, but particularly when a patient is at increased surgical risk, necessitating surgical brevity, the endonasal puncture technique should be considered as the initial procedure. Parents must be appraised of the potential for subsequent growth deficiencies, mental retardation, and crossbite.
考虑到胚胎学和更新的诊断技术，强烈推荐经腭途径作为治疗后鼻孔闭锁的最佳手术方法。一旦能够安全实施全身麻醉，就应尽快进行该手术。在某些特定情况下，特别是当患者手术风险增加，需要缩短手术时间时，应考虑将鼻内穿刺技术作为初始手术方法。必须让家长了解后续生长发育迟缓、智力障碍和反咬合的可能性。
