RESUMO
OBJECTIVE: We describe a case of bilateral congenital choanal atresia in the oldest patient reported with this condition in the recent English language literature. METHOD: Case report and a review of the relevant English language literature, presenting the embryopathogenesis, diagnostic methods and treatment options for this condition. RESULTS: A 53-year-old woman having difficulty with nasal breathing, and with a continuous nasal discharge, was admitted to our clinic. Bilateral congenital choanal atresia was diagnosed by endoscopic examination and paranasal sinus computed tomography. Surgical treatment used an endoscopic transnasal approach. The follow-up examination a year later revealed adequate choanal openings bilaterally. CONCLUSION: To our knowledge, this is the oldest patient with bilateral congenital choanal atresia to be reported in the recent literature. This condition is rarely encountered in adulthood but should be considered as a possible differential diagnosis of persistent nasal obstruction.
Assuntos
Atresia das Cóanas/cirurgia , Obstrução Nasal/etiologia , Cirurgia Endoscópica por Orifício Natural/métodos , Atresia das Cóanas/diagnóstico , Feminino , Humanos , Recém-Nascido , Pessoa de Meia-Idade , Obstrução Nasal/diagnóstico , Obstrução Nasal/cirurgia , Stents , Tomografia Computadorizada por Raios XRESUMO
Carotid blowout syndrome (CBS) is an emergency complication in patients undergoing treatment for head and neck cancers. The classical management of CBS is the ligation of the common carotid artery, because suturing is not be possible due to infection and necrosis of the field. In this case report, we present a patient with CBS, in whom we applied a self-expandable polytetrafluoroethylene (PTFE) stent and observed no morbidity. Endovascular stent is a life-saving technique with minimum morbidity that preserves blood flow to the brain. We believe that this method is preferable to ligation of the artery in CBS.
