Surgical repair of choanal atresia: Retropalatal endoscopic versus endonasal endoscopic technique

2021 ◽  
pp. 103339
Author(s):  
Valentinos Sofokleous ◽  
Anna-Maria Papadopoulou ◽  
Marios Drogkoulas ◽  
Ioannis Psarommatis
Keyword(s):  
Surgical Repair ◽  
Choanal Atresia ◽  
Endoscopic Technique

Unilateral Congenital Choanal Atresia in a 48-Year-Old Patient

2017 ◽  
Vol 9 (1) ◽  
pp. 28-31
Author(s):  
Lília Ferraria ◽  
Sílvia Alves ◽  
Helena Rosa ◽  
Mário Santos ◽  
Luis Antunes
Keyword(s):  
Surgical Repair ◽  
Choanal Atresia ◽  
Diagnostic Procedures ◽  
Clinical History ◽  
Accurate Diagnosis ◽  
Live Births ◽  
Major Symptom ◽  
Detailed Clinical History ◽  
Congenital Condition ◽  
History Of

ABSTRACT Aim To report a case of unilateral choanal atresia diagnosed in a 48-year-old, presenting with fatigue as the major symptom. To highlight the importance of a detailed clinical history and physical examination for an accurate diagnosis. Background Choanal atresia is an uncommon and often poorly recognized cause of unilateral or bilateral nasal obstruction. It is a congenital condition that occurs in approximately 1 in 5,000 to 8,000 live births. Case report This study reports a case of unilateral choanal atresia diagnosed in a 48-year-old presenting with fatigue as the major symptom. The patient presented with a lifelong history of tiredness investigated in cardiology. She was treated by a combined transseptal and transnasal endoscopic surgical technique. Topic use of mitomycin was performed with no use of stents, with clinical regression of the symptoms. Conclusion Unilateral choanal atresia usually presents in younger patients but can be undiagnosed until adulthood due to the nonspecific nature of the symptoms. This diagnosis should be, therefore, considered in all ages and bedside diagnostic procedures should, then, be done. Nasal endoscopy and computed tomography (CT) scan are the gold standard for the diagnosis. The use of stents and mitomycin C topically as an adjunct to the surgical repair of choanal atresia is a controversial subject. How to cite this article Ferraria L, Alves S, Rosa H, Santos M, Antunes L. Unilateral Congenital Choanal Atresia in a 48-Year-Old Patient. Int J Otorhinolaryngol Clin 2017;9(1):28-31.

scholarly journals Choanal atresia: Experience with transnasal endoscopic technique

2005 ◽  
Vol 57 (2) ◽  
Author(s):  
A. M. Shiva Kumar ◽  
Ashok S. Naik ◽  
D. S. Praveen
Keyword(s):  
Choanal Atresia ◽  
Endoscopic Technique

scholarly journals Unilateral Choanal Atresia Presenting With Congenital Respiratory Distress and Recurrent Cyanotic Episodes

2021 ◽  
pp. 014556132110209
Author(s):  
Dror Gilony ◽  
Oded Scheuerman ◽  
Liora Kornreich ◽  
Roy Hod ◽  
Eyal Raveh
Keyword(s):  
Respiratory Distress ◽  
Surgical Repair ◽  
Choanal Atresia ◽  
Feeding Difficulties

Congenital unilateral choanal atresia (CA) is not considered an emergent condition and should not cause respiratory distress in the newborn. Therefore, surgical repair of unilateral CA is usually delayed. This description of a newborn with congenital unilateral CA that caused significant respiratory distress, recurrent cyanotic episodes, and severe feeding difficulties highlights an exception to that rule.

scholarly journals A national study of choanal atresia in tertiary care centers in Canada – part II: clinical management

2021 ◽  
Vol 50 (1) ◽  
Author(s):  
Josee Paradis ◽  
Agnieszka Dzioba ◽  
Hamdy El-Hakim ◽  
Paul Hong ◽  
Frederick K. Kozak ◽  
...  
Keyword(s):  
Clinical Management ◽  
Surgical Repair ◽  
Tertiary Care ◽  
Choanal Atresia ◽  
Case Series ◽  
Retrospective Chart Review ◽  
National Study ◽  
Pediatric Hospitals ◽  
Second Look ◽  
Tertiary Care Centers

Abstract Background To evaluate the clinical management of choanal atresia (CA) in tertiary centers across Canada. Methods Multi-centre case series involving six tertiary care pediatric hospitals across Canada. Retrospective chart review of patients born between 1980 and 2010 diagnosed with choanal atresia to a participating center. Results The health charts of 215 patients (59.6% female) with choanal atresia (CA) were reviewed. Mean age of initial surgical repair was 0.8 months for bilateral CA, and 48.6 months for unilateral CA. Approaches of surgical repair consisted of endoscopic transnasal (31.7%), non-endoscopic transnasal (42.6%), and transpalatal (25.2%). Stents were used on 70.7% of patients. Forty-nine percent of patients were brought back to the OR for a planned second look; stent removal being the most common reason (86.4%). Surgical success rate of initial surgeries was 54.1%. Surgical technique was not associated with rate of restenosis [χ2 (2) = 1.6, p = .46]. Conclusions The present study is the first national multi-institutional study exploring the surgical outcomes of CA over a 30-year period. The surgical repair of CA presents a challenge to otolaryngologists, as the rate of surgical failure is high. The optimal surgical approach, age at surgical repair, use of stents, surgical adjuncts, and need for planned second look warrant further investigation. Graphical abstract

SURGICAL REPAIR OF CONGENITAL CHOANAL ATRESIA

1949 ◽  
Vol 59 (12) ◽  
pp. 1320???1327 ◽  
Author(s):  
J. EASTMAN SHEEHAN ◽  
WILSON A. SWANKER
Keyword(s):  
Surgical Repair ◽  
Choanal Atresia

Nasal Septal Cross-Over Flap Technique: A Choanal Atresia Micro-Endoscopic Surgical Repair

2001 ◽  
Vol 15 (2) ◽  
pp. 143-148 ◽  
Author(s):  
Aldo Cassol Stamm ◽  
Shirley Shizue Nagata Pignatari
Keyword(s):  
Surgical Repair ◽  
Choanal Atresia ◽  
Flap Technique

Choanal atresia in a Himalayan cat – first reported case and successful treatment

2007 ◽  
Vol 9 (4) ◽  
pp. 346-349 ◽  
Author(s):  
Amy ML Khoo ◽  
Andrew M Marchevsky ◽  
Vanessa R Barrs ◽  
Julia A Beatty
Keyword(s):  
Respiratory Tract ◽  
Successful Treatment ◽  
Surgical Repair ◽  
Choanal Atresia ◽  
Clinical Signs ◽  
Differential Diagnoses ◽  
Nasal Discharge ◽  
Upper Respiratory Tract ◽  
Unusual Condition ◽  
Upper Respiratory

A 2-year-old Himalayan cat was presented for investigation of chronic, persistent, unilateral nasal discharge that was unresponsive to antibiotics. Unilateral choanal atresia was diagnosed on nasopharyngoscopy. Following surgical repair using the transnasal route and temporary stenting all clinical signs resolved. This is the first reported case of choanal atresia in a cat. It serves to alert practitioners to the occurrence of this unusual condition which should be included in the differential diagnoses of upper respiratory tract signs in young cats.

Evaluation of Choanal Atresia

1985 ◽  
Vol 94 (5) ◽  
pp. 429-432 ◽  
Author(s):  
Bruce Benjamin
Keyword(s):  
Nasal Cavity ◽  
Computerized Tomography ◽  
Cotton Fiber ◽  
Choanal Atresia ◽  
Surgical Correction ◽  
Endoscopic Technique ◽  
Nasal Patency ◽  
Radiological Study

A series of 65 cases of choanal atresia seen in 19 years is reviewed. We use a wisp of cotton fiber held under the nose and a plastic catheter passed into each nasal cavity to test nasal patency. Horizontal computerized tomography is confirmed as the radiological study of choice, and a standard endoscopic technique used during surgical correction is described.

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