McLaughlin K E, Jacobs I N, Todd N W, Gussack G S, Carlson G
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Laryngoscope. 1997 Oct;107(10):1322-31. doi: 10.1097/00005537-199710000-00006.
Nasopharyngeal stenosis and oropharyngeal stenosis are rare and challenging problems in the pediatric population. The most common etiology is currently the surgical trauma associated with adenotonsillectomy. Stenosis can vary from a thin band to a complete obstructing cicatrix. Presenting symptoms range from mild hyponasal speech to severe airway obstruction. We present a series of eight children with varying degrees of stenosis and associated symptoms. Choice of treatment varied with the severity of disease. In our series, successful interventions included triamcinolone acetonide injection, lysis of adhesions, rotational and advancement mucosal flaps, and jejunal free flap. Preoperative evaluation and individualized surgical repair are essential for successful treatment.
鼻咽狭窄和口咽狭窄在儿科人群中是罕见且具有挑战性的问题。目前最常见的病因是与腺样体扁桃体切除术相关的手术创伤。狭窄程度可从细带状到完全阻塞性瘢痕不等。表现出的症状从轻度鼻通气不足到严重气道阻塞。我们报告了一系列八名患有不同程度狭窄及相关症状的儿童。治疗选择因疾病严重程度而异。在我们的系列病例中，成功的干预措施包括曲安奈德注射、粘连松解、旋转和推进黏膜瓣以及空肠游离瓣。术前评估和个体化手术修复对于成功治疗至关重要。
