Feuerstein S S, Krespi Y P, Sachdev R K
Head Neck Surg. 1980 Nov-Dec;3(2):97-104. doi: 10.1002/hed.2890030204.
A simple life-saving modification of the transnasal approach, which does not require endotracheal anesthesia or preoperative tracheostomy, is described. The use of polyethylene tubes, flanged at the distal end and split at the proximal end, is the most significant feature of this technique. In 14 of the 16 cases of choanal atresia presented, this was the definitive corrective procedure, and further revisions or a later transpalatal approach were not required. The advantages of this technique are that it is simple, it may be used in the first 24 hours of life or at any age, the patient may be released from the hospital in 1 to 2 weeks, and minimal postoperative care is required.
本文描述了一种简单的经鼻入路挽救生命的改良方法，该方法无需气管内麻醉或术前气管切开术。使用远端带凸缘、近端劈开的聚乙烯管是该技术的最显著特征。在16例后鼻孔闭锁病例中，有14例采用此方法作为最终矫正手术，无需进一步修正或后期经腭入路。该技术的优点是操作简单，可在出生后24小时内或任何年龄使用，患者可在1至2周内出院，术后护理需求极少。
