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首页> 外文期刊>Revue de Laryngologie Otologie Rhinologie >Atresie choanale : orientations therapeutiques et resultats sur une serie de 58 enfants
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Atresie choanale : orientations therapeutiques et resultats sur une serie de 58 enfants

机译：胆道闭锁：一系列58位儿童的治疗方向和结果

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Introduction: An error of table being slipped during the publication of this article in number 1 (2003), the Review republishes it in entirety for a better comprehension. The preceding reference must be replaced by this one: REV LARYNGOL OTOL RHINOL. 2003; 124,3: 139-143. Objectives: to assess and compare long term results after surgical correction (transnasal or transpalatine approaches) of unilateral or bilateral choanal atresia, in children with or without associated anomalies. Patients: during a 13-year period, 58 children were included in this retrospective study. Seventy-five choanas were operated on (41 unilateral and 17 bilateral). The transpalatine approach was performed in 41 children (56 choanas) while the transnasal approach was performed in 17 patients (19 choanas). Associated anomalies were reported in 28 children and corresponded to CHARGE association in 13 cases. Results: with a mean follow-up of 7 years, perfect choanal permeability was reported in 90% of children operated on through a transpalatine approach and in 76% of children with a transnasal approach. A complementary therapeutic procedure was required in 54% of transpalatine approaches and 46% of transnasal approaches to yield these results. Postoperative choanal permeability was obtained in 93% of children without an associated anomaly and in 77% of those with associated anomalies, such as in 88% of unilateral atresias and 80% of bilateral ones. Conclusion: initial success rate after surgery is similar for all surgical procedure insofar as nearly half choanas required a complementary therapeutic procedure. The endonasal procedure using the microdebrider appears hopeful and the KTP laser is interesting in fibrous residual stenosis. Associated anomalies are factors which lower general prognosis while inducing a higher surgical failure rate.
机译：简介：在本文发表于2003年第1期的文章中，表格的错误有所遗漏，为了更好地理解本书，Review将其全部重新发布。前面的引用必须替换为：REV LARYNGOL OTOL RHINOL。 2003; 124，3：139-143。目的：评估和比较单侧或双侧胆管闭锁的手术矫正（经鼻或经巴拉汀入路）对有或没有相关异常的儿童的长期效果。患者：在13年期间，这项回顾性研究包括58名儿童。进行了75项胸膜手术（41例单侧和17例双侧）。经穿刺方法在41例儿童（56个胸膜炎）中进行，而经鼻入路在17例患者（19个胸膜炎）中进行。据报道有28名儿童伴有异常，与CHARGE协会有关的有13例。结果：平均随访7年，据报道90％的经pal动脉入路手术的儿童和76％的经鼻法入路的儿童具有理想的通透性。 54％的经巴拉汀方法和46％的经鼻方法需要补充治疗程序才能产生这些结果。 93％没有相关异常的儿童和77％有相关异常的儿童（例如，88％的单侧闭锁和80％的双侧闭锁）获得了术后的通透性。结论：在所有手术过程中，手术后的初始成功率相似，因为将近一半的杂音需要辅助治疗。使用微清创术的鼻内手术看起来很有希望，而KTP激光在纤维残余狭窄方面很有趣。相关异常是降低一般预后并导致更高的手术失败率的因素。

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