鼻内镜下低温等离子微创治疗婴儿双侧先天性后鼻孔闭锁

Minimally invasive treatment of bilateral congenital choanal atresia in infants by lowtemperature plasma under nasal endoscope

摘要:

目的探讨治疗婴儿双侧先天性后鼻孔闭锁的手术方法及疗效。方法采用鼻内镜下经鼻入路低温等离子微创治疗4例婴儿双侧先天性后鼻孔闭锁，术后未放置扩张管，给予抗感染、雾化吸入及生理性海水清洁鼻腔，随访24个月，对疗效进行评价。结果4例均获满意疗效，鼻内镜检查后鼻孔均通畅，鼻腔通气良好，未发生再闭锁及肉芽增生，未出现任何并发症。结论鼻内镜下经鼻低温等离子微创治疗婴儿先天性后鼻孔闭锁，对正常组织损伤小，出血少，未发生再闭锁，临床应用疗效满意。

Abstract:

ObjectiveTo investigate the surgical treatment of bilateral congenital choanal atresia in infants.MethodsThrough minimallyinvasive operation, four infants with bilateral congenital choanal atresia were treated with lowtemperature plasma under nasal endoscope, and not be placed dilatation tube postsurgery. The nasal cavity was cleaned by normal saline (NS), antiinfection and aerosol inhalation. The efficacy was evaluated after a followup of 24 months.ResultsAll the 4 cases obtained satisfactory curative effect. And after endoscopic examination, all the nostrils were unobstructed, nasal ventilation was good; there was no reatresia, granulation hyperplasia and no complications.ConclusionThe minimally invasive treatment of congenital posterior nostril atresia by lowtemperature nasal plasma under nasal endoscope in infants has less damage to normal tissues, less bleeding, and no reatresia. The effect of the treatment is satisfactory in clinical application.