Cirugía endoscópica en un niño con atresia unilateral de coana
Introduction and objective: Choanal atresia is rare, being twice as common in women than in men, and in 50% of cases approximately it is associated with other congenital anomalies. Although there has been some controvesia about the treatment of choice of this malformation, in the last decade, the in...
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Atresia coanas cirugía endoscópica edad pediátrica Tomografía computarizada obstrucción nasal Choanal atresia endoscopic surgery children computed tomography nasal obstruction |
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Atresia coanas cirugía endoscópica edad pediátrica Tomografía computarizada obstrucción nasal Choanal atresia endoscopic surgery children computed tomography nasal obstruction Hellín Meseguer, Diego Melgarejo Moreno, Pablo ÁLVAREZ SANTACRUZ, Carmen GHANI, Fares Galindo Ortego, Javier Cirugía endoscópica en un niño con atresia unilateral de coana |
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Introduction and objective: Choanal atresia is rare, being twice as common in women than in men, and in 50% of cases approximately it is associated with other congenital anomalies. Although there has been some controvesia about the treatment of choice of this malformation, in the last decade, the introduction of endoscopes in sinus surgery has improved the outcome. Case description: We report the case of a child who has left chronic rhinorrhea with persistent nasal obstruction. By endoscopy and CT diagnosis, left choanal atresia is confirmed. Unilateral choanal atresia endoscopic surgery is performed by creating flaps with intranasal mucosa, preventing nasal packing. Discussion: Different techniques have been considered for the treatment of choanal atresia, which include traditional and endoscopic approach. The results of endoscopic surgery in the choanal atresia vary according to different authors. The two most important aspects of these results are the creation of nasal mucosa flaps and avoiding nasal packing. Conclusions: Surgical treatment of unilateral choanal atresia by endoscopic surgery can reduce the risk of restenosis. |
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text (article) |
author |
Hellín Meseguer, Diego Melgarejo Moreno, Pablo ÁLVAREZ SANTACRUZ, Carmen GHANI, Fares Galindo Ortego, Javier |
author_facet |
Hellín Meseguer, Diego Melgarejo Moreno, Pablo ÁLVAREZ SANTACRUZ, Carmen GHANI, Fares Galindo Ortego, Javier |
author_sort |
Hellín Meseguer, Diego |
title |
Cirugía endoscópica en un niño con atresia unilateral de coana |
title_short |
Cirugía endoscópica en un niño con atresia unilateral de coana |
title_full |
Cirugía endoscópica en un niño con atresia unilateral de coana |
title_fullStr |
Cirugía endoscópica en un niño con atresia unilateral de coana |
title_full_unstemmed |
Cirugía endoscópica en un niño con atresia unilateral de coana |
title_sort |
cirugía endoscópica en un niño con atresia unilateral de coana |
publishDate |
2016 |
url |
https://dialnet.unirioja.es/servlet/oaiart?codigo=5403443 |
work_keys_str_mv |
AT hellinmeseguerdiego cirugiaendoscopicaenunninoconatresiaunilateraldecoana AT melgarejomorenopablo cirugiaendoscopicaenunninoconatresiaunilateraldecoana AT alvarezsantacruzcarmen cirugiaendoscopicaenunninoconatresiaunilateraldecoana AT ghanifares cirugiaendoscopicaenunninoconatresiaunilateraldecoana AT galindoortegojavier cirugiaendoscopicaenunninoconatresiaunilateraldecoana |
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1718333876287307776 |
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oai-ART00009310692016-04-10Cirugía endoscópica en un niño con atresia unilateral de coanaHellín Meseguer, DiegoMelgarejo Moreno, PabloÁLVAREZ SANTACRUZ, CarmenGHANI, FaresGalindo Ortego, JavierAtresia coanascirugía endoscópicaedad pediátricaTomografía computarizadaobstrucción nasalChoanal atresiaendoscopic surgerychildrencomputed tomographynasal obstructionIntroduction and objective: Choanal atresia is rare, being twice as common in women than in men, and in 50% of cases approximately it is associated with other congenital anomalies. Although there has been some controvesia about the treatment of choice of this malformation, in the last decade, the introduction of endoscopes in sinus surgery has improved the outcome. Case description: We report the case of a child who has left chronic rhinorrhea with persistent nasal obstruction. By endoscopy and CT diagnosis, left choanal atresia is confirmed. Unilateral choanal atresia endoscopic surgery is performed by creating flaps with intranasal mucosa, preventing nasal packing. Discussion: Different techniques have been considered for the treatment of choanal atresia, which include traditional and endoscopic approach. The results of endoscopic surgery in the choanal atresia vary according to different authors. The two most important aspects of these results are the creation of nasal mucosa flaps and avoiding nasal packing. Conclusions: Surgical treatment of unilateral choanal atresia by endoscopic surgery can reduce the risk of restenosis.Introducción y objetivo: La atresia de coanas es infrecuente, siendo dos veces más frecuente en mujeres que en varones, y en el 50% de los casos aproximadamente se asocia a otras anomalías congénitas. Aunque ha existido cierta controversia sobre el tratamiento de elección de esta malformación en la última década, la introducción de los endoscopios en la cirugía nasosinusal ha mejorado los resultados. Descripción del caso: Presentamos el caso de un niño que presenta rinorrea crónica izquierda acompañada de obstrucción nasal persistente. Mediante endoscopia y TAC se confirma el diagnóstico de atresia de coana izquierda. El tratamiento de la atresia de coana unilateral se realiza mediante cirugía endoscopia con creación de colgajos de mucosa intranasales, evitando el taponamiento nasal. Discusión: Diferentes técnicas han sido consideradas para el tratamiento de la atresia de coanas, que incluyen las de abordaje tradicional y las endoscópicas. Los resultados de la cirugía endoscopia en la atresia de coanas varían según los diferentes autores. Los dos aspectos más importantes en estos resultados en niños son la creación de colgajos de mucosa y evitar el taponamiento nasal. Conclusiones: El tratamiento quirúrgico de la atresia de coana unilateral mediante cirugía endoscopia puede reducir la posibilidad de reestenosis.2016text (article)https://dialnet.unirioja.es/servlet/oaiart?codigo=5403443(Revista) ISSN 2171-9381Revista ORL, ISSN 2171-9381, null 7, Vol. 1, 2016, pags. 45-48spaLICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI |