ORIGINAL PAPER
Congenital choanal atresia: our experiences in a tertiary care teaching hospital in eastern India
Publication date: 2018-03-19
Pediatr Pol 2018;93(1):57-61
KEYWORDS
ABSTRACT
Introduction:
Choanal atresia (CA) is the commonest congenital anomaly of the nose. The diagnosis is made by diagnostic nasal endoscopy and computed tomography (CT) scan. The definitive treatment option is surgery.
Aim of the study:
To discuss our experiences with CA in our region and factors affecting the outcome.
Material and methods:
A prospective study of paediatric patients done between 2012 and 2017. All patients were evaluated by diagnostic nasal endoscopy and CT of the nose and paranasal sinuses. All were operated by endonasal endoscopic approach with placement of a stent. Patients were followed-up for an average of one to two years.
Results:
All 21 patients of CA were treated with endoscopic trans-nasal technique. No severe postoperative complications were found except three cases resulting in restenosis. The restenosis cases underwent revision surgery.
Conclusions:
The endonasal endoscopic approach is a safe and effective method for the choanal atresia. Placement of a stent prevents restenosis with good outcome.
Choanal atresia (CA) is the commonest congenital anomaly of the nose. The diagnosis is made by diagnostic nasal endoscopy and computed tomography (CT) scan. The definitive treatment option is surgery.
Aim of the study:
To discuss our experiences with CA in our region and factors affecting the outcome.
Material and methods:
A prospective study of paediatric patients done between 2012 and 2017. All patients were evaluated by diagnostic nasal endoscopy and CT of the nose and paranasal sinuses. All were operated by endonasal endoscopic approach with placement of a stent. Patients were followed-up for an average of one to two years.
Results:
All 21 patients of CA were treated with endoscopic trans-nasal technique. No severe postoperative complications were found except three cases resulting in restenosis. The restenosis cases underwent revision surgery.
Conclusions:
The endonasal endoscopic approach is a safe and effective method for the choanal atresia. Placement of a stent prevents restenosis with good outcome.
REFERENCES (27)
1.
Pasquini E, Sciarretta V, Saggese D, et al. Endoscopic treatment of congenital choanal atresia. Int J of Pediatr Otorhinolaryngol 2003; 67: 271-276.
2.
Freitas RP, Berkowitz RG. Bilateral choanal atresia repair in neonates: a single sugeon experience. Int J Pediatr Otorhinolaryngol 2012; 76: 873-878.
3.
Fulton RC, Banerjee J, Chow P, Godambe SV. Preoperative airway management in a preterm with bilateral choanal atresia. J Perinatol 2000; 27: 521-522.
4.
Keller JL, Kacker AMD. Choanal atresia, charge association and congenital nasal stenosis. Otolaryngol Clin North Am 2000; 33: 1343-1351.
5.
Durmaz A, Tosun F, Yldrm N, et al. Transnasal endoscopic repair of choanal atresia: results of 13 cases and meta-analysis. J Craniofac Surg 2008; 19: 1270-1274.
6.
Wootten CT, Elluru RE. Congenital malformations of the nose. In: Cummings Otolaryngology Head & Neck Surgery. vol. 3. Flint PW (ed.). 5th ed. Mosby Elsevier, Philadelphia 2010; 2686-2696.
7.
Riepl R, Scheithauer M, Hoffmann TK, Rotter N. Transnasal endoscopic treatment of bilateral choanal atresia in newborns using balloon dilatation: own results and review of literature. Int J Pediatr Otorhinolaryngol 2014; 78: 459-464.
8.
Velegrakis S, Mantsopoulos K, Iro H, Zenk J. Long-term outcomesof endonasal surgery for choanal atresia: 28 years experience in an academic medical centre. Eur Arch Otorhinolaryngol 2013; 270: 113-116.
9.
Barbero P, Valdez R, Rodriguez H, et al. Choanal atresia associated with maternal hypothyroidism treated with methimazole: a case-control study. Am J Med Genet A 2008; 146A: 2390-2395.
10.
Lee LJ, Canfield MA, Hashmi SS, et al. Association between thyroxine levels at birth and choanal atresia or stenosis among infants in Texas, 2004–2007. Birth Defects Res A Clin Mol Terato 2012; 94: 951-954.
11.
Newman JR, Harmon P, Shirley WP, et al. Operative management of choanal atresia: a 15-yearexperience. JAMA Otolaryngol Head Neck Surg 2013; 139: 71-75.
12.
Corrales CE, Koltai PJ. Choanal atresia: current conceptsand controversies. Curr Opin Otolaryngol Head Neck Surg 2009; 17: 466-470.
13.
Assanasen P, Metheetrairut C. Choanal atresia. J Med Assoc Thai 2009; 92: 699-706.
14.
Chia SH, Carvalho DS, Jaffe DM, Pransky SM. Unilateral choanal atresia in identical twins: case report and literature review. Int.
16.
Kancherla V, Romitti PA, Sun L, et al. Descriptive and risk factor analysis for choanal atresia: The national Birth defects prevention Study, 1997-2007. Eur J Med Genet 2014; 57: 220-229.
17.
Zanetta A, Rodríguez H, Quiroga V, et al. Congenital nasal obstruction due to choanal atresia. Arch Argent Pediatr 2012; 110: 152-155.
18.
Chaudhary V, Anand R, Narula MK, Singh SK. The role of computed tomography in the evaluation of bilateral choanal atresia: two case reports. Iran J Radiol 2009; 6: 221-224.
19.
Shawky ME. Transnasal endoscopic management of congenital bilateral choanal atresia with and without stenting. PAN Arab.
22.
Gujrathi CS, Daniel SJ, James AL, Forte V. Management of bilateral choanal atresia in the neonate: an institutional review. Int J Pediatr Otorhinolaryngol 2004; 68: 399-407.
23.
Ramsden JD, Campisi P, Forte V. Choanal atresia and choanal stenosis. Otolaryngol Clin North Am 2009; 42: 339-352.
24.
Bedwell J, Shah RK, Baumann N, et al. Balloon dilation for management of choanal atresia and stenosis. Int J Pediatr Otorhinolaryngol 2011; 75: 1515-1518.
25.
Prasad M, Ward RF, April MM, et al. Topical mitomycin as an adjunct to choanal atresia repair. Arch Otolaryngol Head Neck Surg 2002; 128: 398-400,.
26.
Newman JR, Harmon P, Shirley WP, et al. Operative management of choanal atresia: a 15-year experience. JAMA Otolaryngol Head Neck 2013; 139: 71-75.
27.
Carter JM, Lawlor C, Guarisco JL. The efficacy of mitomycin and stenting in choanal atresia repair: A 20 year experience. Int J Pediatr Otorhinolaryngol 2014; 78: 307-311.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
