Stentless mirrored L-shaped septonasal flap versus stented flapless technique for endoscopic endonasal repair of bilateral congenital choanal atresia: a prospective randomised controlled study
| Autor: | Mohammed O Tomoum, Magdy E. Saafan, Mohamed Amer, Mohamed H. Askar, Mahmoud Mandour |
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| Rok vydání: | 2018 |
| Předmět: |
Nasal cavity
Male medicine.medical_specialty Choanal atresia Group B Choanal Atresia Surgical Flaps Congenital Abnormalities 03 medical and health sciences CHARGE syndrome 0302 clinical medicine Postoperative Complications Outcome Assessment Health Care medicine Humans Postoperative Period Prospective Studies 030223 otorhinolaryngology Prospective cohort study medicine.diagnostic_test business.industry Infant Newborn Granulation tissue Endoscopy General Medicine Choanal stenosis medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Nasal Lavage Female Stents CHARGE Syndrome Nasal Cavity business Tomography X-Ray Computed |
| Zdroj: | The Journal of laryngology and otology. 132(4) |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | Objectives:To compare the outcomes of endoscopic repair of bilateral congenital choanal atresia using a flap technique without stenting versus endoscopic repair using stenting without a flap.Methods:A prospective randomised controlled study was conducted, comprising 72 patients with bilateral congenital choanal atresia. The patients were randomised into two groups. Group A (42 patients) underwent endoscopic repair using a mirrored L-shaped flap without stenting, and group B (30 patients) underwent endoscopic repair using stenting without a flap.Results:At a mean follow-up period of 18.2 months, endoscopic assessment revealed a patent posterior choana in 81 per cent and 83.33 per cent of patients in group A and group B respectively. Choanal stenosis occurred in 21.40 per cent and 33.33 per cent of patients in group A and group B respectively. Granulation tissue was observed in 28.6 per cent and 53.3 per cent of patients in group A and group B respectively.Conclusion:The endoscopic approach utilising a flap without stenting is safe and effective, with a high success rate. |
| Databáze: | OpenAIRE |
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