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鼻咽狭窄在儿童虽不常见,但情况严重,多为扁桃体、腺样体等手术创伤所致。这一问题的外科矫治尚待研讨。作者在回顾有关文献的基础上提出一种新的修复方法——咽侧粘肌瓣鼻咽成形术。即粘膜下切除狭窄侧的瘢痕,用咽后壁的粘膜肌肉瓣覆盖切除区域。作者对7例鼻咽狭窄的患儿(其中5例为扁桃体、腺样体切除术所致;2例为腭裂修补术所致)用该法修复,经2~6年随访,6例获满意疗效。该法原设计分二期修复,但仅有1例施行二期手术。 Cotton的修复方法是,用1%利多卡因和
Nasopharyngeal stenosis is uncommon in children, but the situation is serious, mostly due to tonsil, adenoid and other surgical trauma. Surgical correction of this issue yet to be discussed. Based on the review of the literature, the authors propose a new repair method - pharyngeal mucosal flap nasopharyngeal angioplasty. That submucosal resection of the narrow side of the scar, with pharyngeal mucosal muscle flap covering the excision area. The authors of 7 cases of nasopharyngeal stenosis (5 were tonsil, adenoidectomy due to; 2 cases due to cleft palate repair) with this method to repair, after 2 to 6 years of follow-up, 6 were satisfied Efficacy. The original design of the original repair in two phases, but only one case of implementation of two operations. Cotton repair method is to use 1% lidocaine and