成人单侧后肛门闭锁

Halo 194 Pub Date : 2023-01-01 DOI:10.5937/halo29-43527
Anđelina Jovanović, Svetlana Valjarević, Andrej Grubor, Milan Jovanović
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引用次数: 0

摘要

后肛门闭锁是一种罕见的鼻腔异常,半数病例伴有其他先天性畸形。诊断通常在出生后立即做出,但在耳鼻喉科实践中,晚期诊断并不罕见。病例报告:我们报告一位18岁的女性,她的左鼻孔呼吸困难,持续多年,鼻孔分泌增多,经常头痛。在术前准备期间,鼻旁窦的计算机断层扫描显示左侧后肛门闭锁和左侧骨臼复体区域阻塞,然后使用现代手术方法成功解决。术后观察。术后1个月用内窥镜进行对照检查,结果显示两条choanae均可通过。后肛门闭锁可以是一种孤立的颅面畸形或与CHARGE, Teacher Collins, Down, Crouson和Pfeiffer综合征相关。双侧后肛门闭锁是危及生命的。单侧后肛门闭锁可根据闭锁的类型和患者的年龄表现出多种症状。结论:临床耳鼻喉科检查、鼻内窥镜检查及鼻窦颅底ct检查可确诊。治疗是外科手术。
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Unilateral choanal atresia in an adult
Introduction: Choanal atresia is a rare anomaly of the nasal cavity, which is associated with other congenital malformations in half of the cases. The diagnosis is usually made immediately after birth, but late diagnoses are not rare in otorhinolaryngology practice. Case report: We are presenting the case of an eighteen-year-old woman with a history of difficulty in breathing through her left nostril that lasted for many years, increased secretion from the nostril and frequent headaches. During preoperative preparation, computerized tomography of the paranasal sinuses revealed left-sided choanal atresia and obstruction in the region of the left osteomeatal complex, which was then successfully resolved using a modern surgical approach. She was observed postoperatively. A control examination with an endoscope was performed one month after the operation, indicating that both choanae were passable. Choanal atresia can be an isolated craniofacial malformation or associated with CHARGE, Teacher Collins, Down, Crouson and Pfeiffer syndromes. Bilateral choanal atresias are life-threatening. Unilateral choanal atresias can present with a variety of symptoms depending on the type of atresia and the age of the patient. Conclusion: The diagnosis is made with a clinical otorhinolaryngological examination, nasal endoscopy and computerized tomography of the paranasal sinuses and the skull base. The therapy is surgical.
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