姉妹にみられた先天性後鼻孔閉鎖症　内視鏡下鼻内手術

DOI 被引用文献1件
  • 辻 富彦
    東京慈恵会医科大学附属青戸病院耳鼻咽喉科
  • 山口 展正
    東京慈恵会医科大学附属青戸病院耳鼻咽喉科
  • 足川 哲夫
    東京慈恵会医科大学耳鼻咽喉科学教室
  • 森山 寛
    東京慈恵会医科大学耳鼻咽喉科学教室

書誌事項

タイトル別名
  • The Endoscopic Transnasal Surgery of Congenital Choanal Atresia.
  • 内視鏡下鼻内手術

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抄録

Two cases (sisters aged four and five) with congenital choanal atresia were reconstructed by endoscopic transnasal surgery using laser. Both choanal obstructions were of bony plate in the right nasal cavity. After opening the atresia, we inserted a silastic tube into the nasal cavity. One case developed polypoid tissue around the tube after two months, necessitating extraction of the tube and removal of the granulation, after which the tube was reinserted and left in place for six months. In the other case, the silastic tube remained in place for six months without restenosis. One year after surgery, there was no recurrence of stenosis. Endoscopic transnasal surgery is minimally invasive and an effective method of treating choanal atresia in children.

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