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先天性后鼻孔闭锁的手术治疗——附1例报告并文献复习

Congenital choanal atresia:one case report and review of the literature

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【作者】 柯朝阳; 刘明; 张伟;

【Author】 KE Zhao-yang,LIU Ming,ZHANG Wei.Department of Otolaryngology,The Second Affiliated Hospital of Jinan University,Shenzhen 518020,China

【机构】 暨南大学附属第二医院深圳市人民医院耳鼻咽喉科; 暨南大学附属第二医院深圳市人民医院耳鼻咽喉科 广东深圳518020; 广东深圳518020; 广东深圳518020;

【摘要】 目的探讨先天性后鼻孔闭锁的手术时机和手术方式。方法结合文献,对1例出生仅10天的双侧先天性后鼻孔闭锁病例的临床资料进行回顾性分析。结果该患者在鼻内窥镜下利用电动吸切器成功进行了后鼻孔成形术,随访3年后鼻孔无狭窄。结论对于双侧先天性后鼻孔闭锁者宜尽早手术。鼻内窥镜下配合电动吸切器手术具有视野清晰、操作准确、出血少、创面愈合快等优点。术中置管扩张、术后加强护理及定期随访是保证手术成功的关键。

【Abstract】 Objective To explore the surgical treatment of congenital choanal atresia (CCA). Methods The clinical date of a 10-day-old infant with bilateral CCA were analyzed retrospectively, and the literature was reviewed. Results The patient was cured by transnasal endoscope and power instrument. In the period of following-up with 3 years, the choanae remained patency. Conclusion The surgical treatment should be performed in the patients with Bilateral CCA as early as possibly. Transnasal endoscopic repair with power instrumentation is a safe and effective technique.

  • 【文献出处】 罕少疾病杂志 ,Journal of Rare and Uncommon Disease , 编辑部邮箱 ,2004年06期
  • 【分类号】R765
  • 【被引频次】3
  • 【下载频次】111
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