内視鏡的治療を行った後天性後鼻孔閉鎖例

DOI Web Site 参考文献22件
  • 黒田 優美
    山梨大学大学院医学工学総合研究部耳鼻咽喉科・頭頸部外科
  • 上條 篤
    埼玉医科大学耳鼻咽喉科・アレルギーセンター
  • 高橋 吾郎
    浜松医科大学耳鼻咽喉科
  • 山本 卓典
    山梨大学大学院医学工学総合研究部耳鼻咽喉科・頭頸部外科
  • 遠藤 周一郎
    山梨大学大学院医学工学総合研究部耳鼻咽喉科・頭頸部外科
  • 森山 元大
    山梨大学大学院医学工学総合研究部耳鼻咽喉科・頭頸部外科
  • 増山 敬祐
    山梨大学大学院医学工学総合研究部耳鼻咽喉科・頭頸部外科

書誌事項

タイトル別名
  • A Case of Acquired Choanal Atresia Treated with Transnasal Endoscopic Surgery
  • リンショウ ナイシキョウテキ チリョウ オ オコナッタ コウテンセイ コウビコウ ヘイサレイ

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抄録

We report on a case of acquired choanal atresia which arose from palatal deformation caused by syphilis that the patient had had 40 years ago.<br> The 64-year-old male patient had been complaining of a severe nasal obstruction that he had endured for a year. The uvula and bilateral palatine arches had adhered to the posterior pharyngeal wall, and the bilateral nasal choanae were found to be completely closed.<br> The patient then underwent transnasal endoscopic surgery with a navigation system under general anesthesia. He was also treated with a mucosal flap and stented to prevent restenosis. A rolled silicone-plate was placed in the choanae for five days postoperatively. Sufficient patency of the choanae was been achieved and has been maintained. Restenosis has not been seen for 2 years postoperatively.<br> Our findings suggest that the mucosal flap is effective in avoiding restenosis of the neochoanae.<br>

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