先天性鼻后孔闭锁的治疗进展

Advances in treatment of congenital posterior choanal atresia

先天性鼻后孔闭锁（congenital posterior choanal atresia）是一种临床少见的先天性畸形,严重影响鼻腔正常通气及引流,进而影响鼻面部及智力的发育,手术矫正为首选治疗方法。目前对外科手术治疗鼻后孔闭锁的方法和技术存在争议,本文综述近年来国内外治疗先天性鼻后孔闭锁的进展。1流行病学鼻后孔闭锁分为先天性和后天性,

Summary Congenital posterior choanal atresia is a rare congenital deformity. Due to the influence of nose and face and intellectual development, ifs preferred surgical treatment. But surgical treatment methods and technology are in dispute. The using of high resolution display systems combine with micro tools can effectively reduce postop- erative scarring and adhesion formation which is the key point to prevent restenosis. There is also the focus of con- troversy whether should place an expansive tube after operation. Currently nasal endoscopic approach has become the first choice for otolaryngologist treating congenital posterior choanal atresia.