[Combined transseptal-transnasal surgery of unilateral XXXX without using stents].

@entity1146 @entity1 @entity16453
BACKGROUND: This is a report of a surgical procedure with which stenting after surgery of unilateral @entity16453 can be avoided. METHOD: We start transseptally with a hemitransfixion incision. The vomer and the bony @entity1146 plate are dissected submucosally and then resected with punches and a diamond burr, whilst the nasal and the pharyngeal mucosa of the @entity1146 is preserved completely. The next step is to cut transnasally a door-like flap out of the nasal blade of the mucosa of the @entity1146 , that is based laterally and with which the lateral raw surface of the new choana will be covered. Now a medially based door-like flap is cut out of the up to now intact pharyngeal blade of the @entity1146 , with which the medial wound surface is to be covered. The flaps are fixed with fibrin glue and with a nasal tamponade for two days, as after septoplasty. It is not necessary to insert stents anymore. RESULTS: Between 1995 until 1998 we treated three female and two male @entity1 using this method. Their ages were 6, 17, 17, 20 and 35 years and the postoperative observation lasted 2, 4, 1, 3 and 3 years. A restenosis was not seen in any of the cases. CONCLUSION: Because of these results, it is recommended to treat unilateral choanal @entity1146 of adults and @entity1 older than five years by using a combined transseptal-transnasal procedure. By using the described surgical technique postoperative stenting can be avoided.
