改良带蒂倒刺缝线对称瓣咽成形术治疗获得性鼻咽狭窄
Modified barbed reposition pharyngoplasty with symmetrical flap for acquired nasopharyngeal stenosis.
文献信息
| PMID | 42867648 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Kazumi Okuno |
| 作者单位 | Ota Sleep Science Center, Kawasaki City Hospital, 1-50 Nisshin-cho, Kawasaki-ku, Kawasaki-city, Kanagawa, 210-0024, Japan. |
| 期刊 | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery |
| SCI 分区 | Q1 |
| IF | 2.3 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
目的： 获得性鼻咽狭窄（NPS）是扁桃体切除术后或激光辅助悬雍垂腭咽成形术后一种罕见但严重的并发症，可导致窒息感和鼻呼吸受损。本研究旨在描述一种改良咽成形术技术并报告其短期结局。
方法： 对2017年至2025年间接受该手术的五例获得性NPS患者进行了回顾性分析。所有病例对保守治疗均无效。手术技术包括对称黏膜瓣联合可吸收倒刺缝线，以实现咽部气道的稳定扩张。
结果： 所有患者术后窒息感和鼻呼吸均迅速改善。自手术次日起即可正常言语和经口进食。随访期间（5个月至2年），未观察到再狭窄或重大并发症，内镜检查证实气道持续通畅。
结论： 该技术可在单次手术中安全实施，无需肌肉切除或支架置入，并显示出良好的短期结局。对于选定的获得性NPS患者，它可能是一种实用的手术选择。需要进一步研究以确认长期疗效。
英文摘要
PURPOSE: Acquired nasopharyngeal stenosis (NPS) is a rare but serious complication following tonsillectomy or laser-assisted uvulopalatoplasty, leading to choking sensation and impaired nasal breathing. This study aimed to describe a modified pharyngoplasty technique and report its short-term outcomes.
METHODS: A retrospective analysis was conducted on five patients with acquired NPS who underwent the procedure between 2017 and 2025. All cases were refractory to conservative treatment. The surgical technique involved symmetrical mucosal flaps combined with absorbable barbed sutures to achieve stable expansion of the pharyngeal airway.
RESULTS: All patients showed rapid improvement in choking sensation and nasal breathing postoperatively. Normal speech and oral intake were possible from the day after surgery. During follow-up (5 months-2 years), no restenosis or major complications were observed, and endoscopic findings confirmed sustained airway patency.
CONCLUSION: This technique can be performed safely in a single session without muscle resection or stenting and demonstrated favorable short-term outcomes. It may represent a practical surgical option for selected patients with acquired NPS. Further studies are required to confirm long-term efficacy.