Treatment of nasopharyngeal atresia with dual U-shaped mucosal flap repair and local dilatation.
- Author:
Binghui ZHANG
1
;
Yuming SHI
;
Ming LIU
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China. 19661994@sina.com
- Publication Type:Journal Article
- MeSH:
Adult;
Dilatation;
Female;
Humans;
Male;
Middle Aged;
Mouth Mucosa;
transplantation;
Nasopharyngeal Diseases;
surgery;
Reconstructive Surgical Procedures;
methods;
Surgical Flaps;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2010;24(21):966-967
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:The aim of current work was to investigate the methodology and effect of dual U-shaped mucosal flap repair plus local dilatation for the treatment of nasopharyngeal atresia.
METHOD:Nine patients with nasopharyngeal stenosis were treated with dual U-shaped flap to repair the wound of retropharyngeal and soft palate mucosa. and then dilated by implanting a silicone tube.
RESULT:The silicone tube was removed 6 months after the operation. The transverse diameter of nasopharynx maintained at about 2.0 - 2.5 cm, and anteroposterior diameter at about 1.0 cm. All cases had good nasal patency except velopharyngeal insufficiency and nasal regurgitation of food. After a 2 years follow-up, all cases had a good result except one still had the nasal regurgitation of food.
CONCLUSION:U-shaped mucosal flap repair with local dilatation is an effective method for treatment of nasopharyngeal atresia.
