The use of adjunctive topical mitomycin in endoscopic congenital choanal atresia repair

Bozkurt, Mete Kaan; Keles, Bahar; Azimov, Ahmet; Öztürk, Kayhan; Arbağ, Hamdi

doi:10.1016/j.ijporl.2010.03.026

Cited by 26 publications

(35 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Los dos aspectos más importantes en estos resultados son la creación de colgajos de mucosa y evitar el taponamiento nasal [18]. El uso de colgajos está basado en que solo una capa epitelial es capaz de prevenir la retracción en la cicatrización mientras que el taponamiento provoca ulceración, favorece la infección y daña los tejidos sanos [19][20][21]. CONCLUSIONES El tratamiento quirúrgico de la atresia de coana mediante cirugía endoscópica con creación de colgajos de mucosa intranasales y evitando el taponamiento nasal, puede reducir la posibilidad de reestenosis.…”

Section: Discussionunclassified

Cirugía endoscópica en un niño con atresia unilateral de coana

Hellín-Meseguer

Melgarejo-Moreno

Álvarez-Santacruz

et al. 2016

ORL

View full text Add to dashboard Cite

Section: Discussionunclassified

Cirugía endoscópica en un niño con atresia unilateral de coana

Hellín-Meseguer

Melgarejo-Moreno

Álvarez-Santacruz

et al. 2016

ORL

View full text Add to dashboard Cite

“…Surgery can be performed via transnasal, transseptal, transpalatal and transantral approaches [2]. Transnasal endoscopic technique is the most common approach because it is less traumatic, faster, and causes minimal blood loss [7]. For a clear visualization and for managing BCCA more easily, many techniques for transnasal repair are recently described [7].…”

Section: Discussionmentioning

confidence: 99%

“…Transnasal endoscopic technique is the most common approach because it is less traumatic, faster, and causes minimal blood loss [7]. For a clear visualization and for managing BCCA more easily, many techniques for transnasal repair are recently described [7]. El-Ahr et al described an endoscopic transnasal surgery technique, be- Then the surgery could be done more easily by admitting the instrument from one nasal passage and endoscopy through the other passage [4].…”

Section: Discussionmentioning

confidence: 99%

“…Hassan et al described combined a transoral-transantral approach in the repair of BCCA [6]. Bozkurt et al suggested that, mitomycin seems to improve the surgical outcome of CA and reduce the rate of restenosis significantly without any complications [7]. In these reports most of the patients were infants.…”

Section: Discussionmentioning

confidence: 99%

“…In rare cases, the newborn can compensate for the breathing difficulty by learning mouth breathing. Unilateral atresia may not be detected for years and may present later as rhinorrhea and unilateral nasal obstruction [1,7]. Since Emmert performed the first surgical correction of atresia by transnasal introduction of a curved trochar in 1854, several surgical techniques have been described [3].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Two Different Treatment Modalities on a Bilateral Congenital Choanal Atresic Case

Gür¹,

Özel²,

Kaymakçı³

et al. 2016

Ann Clin Anal Med

View full text Add to dashboard Cite

ÖzetBiz bu çalısmada; bilateral konjenital koanal atrezisi olan bir hastada iki farklı tedavi yöntemini karşılaştırdık. Burun tıkanıklığı ve bilateral rinore şikayeti ile kliniği-mize başvuran 5 yaşındaki kız çocuğuna yapılan nazal endoskopik muayenede koananın bilateral oblitere olduğu saptandı. Koanal atrezi transnazal endoskopik yaklaşım kullanılarak tedavi edildi. Endotrakeal tüp stent sağ koananın içine yerleşti-rilirken, sol koanaya stent konulmadı. Ameliyattan iki yıl sonra yapılan endoskopik muayenede koananın her iki tarafında da darlık saptanmadı. Bilateral konjenital koanal atrezi burun tıkanıklığına neden olur ancak yenidoğan dönemi sonrasında oldukça nadir görülür. Trans-nazal endoskopik yaklaşım etkili ve güvenli bir cerrahi tekniktir. Aynı hastada stent konulmasının veya konulmamasının özellikle doku iyileşmesi konusunda fark yaratmaması bize çok değerli bilgiler vermektedir. Ancak tek bir hasta kesin sonuca varmak için yeterli değildir. Bu konuda yapılacak daha büyük serili çalışmalar bize yön gösterecektir. Anahtar KelimelerNazal Obstrüksiyon; Koanal Atrezi; Stendleme AbstractWe report the comparisn of two different treatment modalities on a bilateral congenital choanal atresic patient. The nasal endoscopic examination of a 5-year-old girl who had nasal obstruction and bilateral rhinorrhea revealed bilateral obliterated choanas. The choanal atresia was corrected using the transnasal endoscopic approach. An endotracheal tube stent was inserted through the right choana while no stent was used for the left side. Two years after the operation, an endoscopic examination revealed no stenosis in either side. Bilateral congenital choanal atresia is rarely among the reasons for nasal obstruction in the postneonatal period. The transnasal endoscopic approach is a safe and effective surgical technique. As there will be no differences such as tissue healing factors, comparison of stenting and non-stenting on the same patient provides us with valuable information. However a single patient is not sufficient to arrive at a decisive conclusion. Studies conducted in the future on a large number of cases will provide us with more information.

show abstract