Transnasal endoscopic repair of choanal atresia

Yıl 2007, Cilt: 17 Sayı: 2, 85 - 89, 18.03.2007

Semih Mumbuç Erkan Karataş Cengiz Durucu Enver Özer Muzaffer Kanlıkama

Öz

Objectives: We evaluated the results of endoscop­ ic repair for choanal atresia.Patients and Methods: Ten patients 2 males, 8 females undervvent transnasal endoscopic repair for choanal atresia. Involvement was unilateral in five cases and bilateral in five cases. Unilateral patients were treated at a mean age of 22.6 years range 1 to 44 years , while bilateral cases were treated within the first six days of life. Two patients with bilateral involve- ment had associated polydactyl and tracheoe- sophageal fistula, respectively. The mean follow-up period was 26 months range 8 to 56 months .Results: No postoperative complications such as sig- nificant hemorrhage, injury to the skull base, cere- brospinal fluid fistula, septal perforation, orgranulation tissue formation were encountered. AH the patients had choanal patency at the end of six months.Conclusion: Endoscopic repair of choanal atresia is effective in both unilateral and bilateral cases.

Anahtar Kelimeler

Choanal atresia/surgery, endoscopy/methods

Transnazal endoskopik yolla koanal atrezi tamiri

Öz

Amaç: Koanal atrezi nedeniyle endoskopik tamir uy­ gulanan hastaların sonuçları değerlendirildi.Hastalar ve Yöntemler: Koanal atrezi nedeniyle transnazal endoskopik tamir uygulanan 10 hasta 2 erkek, 8 kadın geriye dönük olarak incelendi. Atrezi beş olguda tek taraflı, beş olguda iki taraflıydı. Tek taraflı olguların yaş ortalaması 22.6 yıl dağılım 1-44 yıl iken, iki taraflı olgularda tedavi doğumdan sonra ilk altı günde yapıldı. İki taraflı olguların birinde ek olarak polidaktili, birinde de trakeoözofageal fistül vardı. Hastalar ortalama 26 ay dağılım 8-56 ay ta­ kip edildi.Bulgular: Ameliyat sonrası dönemde kayda değer kan kaybı, kafa tabanı yaralanması, BOS fistülü, septal perforasyon veya granülasyon dokusu oluşu­ mu ile karşılaşılmadı. Tüm olgularda altı ay sonunda koananın açık olduğu görüldü.Sonuçlar: Gerek tek taraflı gerekse iki taraflı koanal atrezide endoskopik yaklaşım başarılı bir yöntemdir.

Anahtar Kelimeler

Koanal atrezi/cerrahi, endoskopi/yöntem

Kaynakça

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