PDF(Pubmed)
Abstract：
Choanal atresia is a rare congenital airway malformation that presents a unique surgical challenge for pediatric otolaryngologists. Here we report two classic cases of choanal atresia and examine the surgical approaches to this entity. The first case was a four-day-old female with a history of CHARGE syndrome and bilateral mixed membranous and bony choanal atresia confirmed by a CT scan. After undergoing transnasal endoscopic repair, choanal stents were placed for four weeks, and the patient was seen three months postoperatively and found to be doing well with no respiratory concerns. The second case involved a healthy three-year-old female presenting with unilateral combined membranous and bony atresia. Following successful endoscopic repair, she was seen at a three-month follow-up with no signs of restenosis. Additionally, a literature review was performed to evaluate updates since the 2012 Cochrane Review on surgical treatment of congenital choanal atresia.
摘要：
Choanal闭锁是一种罕见的先天性气道畸形，对小儿耳鼻喉科医师提出了独特的手术挑战。在这里，我们报告了两个典型的后鼻孔闭锁病例，并检查了该实体的手术方法。第一例是一名四天大的女性，有CHARGE综合征和双侧混合性膜性和骨性后鼻孔闭锁的病史，经CT扫描证实。经鼻内镜修复后，后肛门支架放置四周，患者在术后三个月就诊，发现病情良好，没有呼吸问题。第二例涉及一名健康的三岁女性，表现为单侧膜性和骨性闭锁。内窥镜修复成功后，在3个月的随访中发现她没有再狭窄的迹象.此外,我们进行了文献综述,以评估自2012年CochraneReview关于先天性后鼻孔闭锁手术治疗的更新.
