Sténose choanale post-radique

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-03-01 DOI:10.1016/j.aorl.2009.01.001

H. Haddad, N. Sellal, Z. Bourhaleb, N. benchakroun, H. Jouhadi, N. Tawfiq, S. Sahraoui, A. Benider

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引用次数: 2

Abstract

Objective

Description of a rare complication of radiation therapy for nasopharyngeal carcinomas and the therapeutic value of surgical endoscopic desobstruction.

Case report

A choanal stenosis observed in an 8-year-old boy, 3 years after radiation therapy and chemotherapy for a voluminous nasopharyngeal carcinoma. No initial involvement of the nasal fossa was observed. Concomitant relapse was excluded after clinical and histological examination.

Results

A good functional result was achieved after the choana was unblocked in videoendoscopic surgery. After 9 months of follow-up, the breathing and odor functions remained intact.

Conclusion

Choanal stenosis is a rare complication of radiotherapy for nasopharyngeal carcinoma. Relapse should be excluded with biopsies beyond the stenosis. Treatment is based on endoscopic surgery.

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[放疗后后椎管狭窄]。

目的探讨鼻咽癌放射治疗的一种罕见并发症及内镜下手术解梗阻的治疗价值。病例报告:一名8岁男童，因大体积鼻咽癌接受放疗和化疗3年后，发现后肛门狭窄。最初未观察到鼻窝受累。经临床及组织学检查，排除合并复发。结果内镜下视屏手术后，通畅了咽喉，取得了良好的功能效果。随访9个月后，呼吸和嗅觉功能保持完整。结论后肛管狭窄是鼻咽癌放疗后罕见的并发症。复发应通过狭窄部位以外的活检排除。治疗方法是内窥镜手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris

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