Abstract
Amaç: Koanal atrezi nazal kavite ve nazofarinks arasındaki iletişimin gelişimindeki bozukluk olarak tanımlanmıştır. Her5-8 bin canlı doğumda bir koanal atrezi tespit edilmektedir. Çift taraflı olması halinde hayatı tehdit eden bir durumdur.Tek taraflı koanal atrezi ise ileri yaşlara kadar farkedilmeyebilir. Koanal atrezilerin cerrahi tedavisi sonrası stent uygulamasıtartışmalıdır. Bu yazımızda kliniğimizde gerçekleştirilen 8 koanal atrezinin stentsiz tedavi tecrübemiz sunulmuştur.Gereç ve Yöntemler: 2011 ile 2015 yılları arasında kliniğimizde gerçekleştirilen olgular retrospektif olarak tarandı. Tespitedilen 8 olgunun bilgilerine hasta dosyalarından ulaşıldı. Hastalara ait yaş, müdahale zamanı, atrezik plak içeriği, ekanomaliler ve atrezinin tarafı verileri not edildi.Bulgular: Koanal atrezili hastaların ikisi erkek altısı kızdı. Yaş ortalaması 5.1 yıl olarak tespit edildi. Atrezi 1 hastada bilateral,7 hastada ise unilateral izlendi. Bilateral koanal atrezili hastanın solunum zorluğu varken tek taraflı atrezisi olanlardagenellikle tek taraflı burun akıntısı, burunda tıkanıklık şikayetleri ile mevcuttu. Hastaların dördünde sağ tarafta, üçünde soltarafta atrezi tespit edildi. Atrezik plak içeriği 7 hastada membranoosseöz 1 hastada ise osseöz olarak tespit edildi. Birhastada ensefalosel tespit edildi. Hastanede kalış süresi ortalama 4.1 gündü. Restenoz bir hastada görüldü.Sonuç: Koanal atrezi morbidite ve mortaliteye sebep olabilecek, zamanında müdahale edilmesi gereken bir patolojidir.Endoskopik sistemlerin gelişmesi ile birlikte endoskopik nazal yaklaşım tercih edilen bir yöntem haline gelmiştir. Stentsizkoanal atrezi cerrahisinin güvenli ve başarılı bir teknik olduğunu düşünmekteyiz.
Keywords
References
- Strychowsky JE, Kawai K, Moritz E, Rahbar R, Adil EA. To stent or not to stent? A meta-analysis of endonasal congenital bilateral choanal atresia repair. Laryngoscope 2016;126:218-27.
- Leclerc JE, Fearon B. Choanal atresia and associated anomalies. Int J Pediatr Otorhinolaryngol 1987;13:265-72.
- Samadi DS, Shah UK, Handler SD. Choanal atresia: A twenty- year review of medical comorbidities and surgical outcomes. Laryngoscope 2003;113:254-8.
- Richardson MA, Osguthorpe JD. Surgical management of choanal atresia. Laryngoscope 1988;98:915-8.
Abstract
Objective: Choanal atresia is described as a defect in the development of communication between the nasal cavity and nasopharynx. An atresia is determined in every 5-8 thousand live births. It is a life -threatening condition if double sided. A unilateral choanal atresia may not be recognized until an advanced age. Stenting after surgical treatment of choanal atresia is controversial. Our experience in the stentless treatment of 8 choanal atresia cases at our clinic is presented in this article. Material and Methods: Our cases between 2011 and 2015 were reviewed retrospectively. Information on the 8 cases was obtained from patients’ files. Data including the patient’s age, response time, contents of atresic plaque, additional abnormalities and side of the atresia were noted.Results: Two of choanal atresia patients were male and six were female. The mean age was 5.1 years. The atresia was bilateral in 1 patient and unilateral in 7 patients. While there was difficulty breathing in patients with bilateral choanal atresia, there were usually complaints of unilateral runny nose and nasal congestion in patients with unilateral atresia. An atresia was found on the right in 4 patients and on the left in 3 patients. The composition of the atresic plaque was membranoosseous in 7 patients and osseous in 1 patient. Encephalocele was detected in one patient. The mean duration of hospitalization was 4.1 days. Restenosis was seen in one patient.conclusion: Choanal atresia is a pathology that may cause morbidity and mortality and requires timely intervention. The endoscopic nasal approach has become the preferred method with the development of endoscopic systems. We believe that the technique of stentless choanal atresia surgery is safe and successful
Keywords
References
- Strychowsky JE, Kawai K, Moritz E, Rahbar R, Adil EA. To stent or not to stent? A meta-analysis of endonasal congenital bilateral choanal atresia repair. Laryngoscope 2016;126:218-27.
- Leclerc JE, Fearon B. Choanal atresia and associated anomalies. Int J Pediatr Otorhinolaryngol 1987;13:265-72.
- Samadi DS, Shah UK, Handler SD. Choanal atresia: A twenty- year review of medical comorbidities and surgical outcomes. Laryngoscope 2003;113:254-8.
- Richardson MA, Osguthorpe JD. Surgical management of choanal atresia. Laryngoscope 1988;98:915-8.
Details
| Other ID | JA73GP49HB |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | June 1, 2017 |
| Submission Date | June 1, 2017 |
| Published in Issue | Year 2017 Volume: 11 Issue: 2 |
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