A 13-year experience and predictors for success in transnasal endoscopic repair of congenital choanal obliteration

Stentless endoscopic transnasal repair of bilateral choanal atresia starting with resection of vomer

“…Stankiewicz [18] attributed his failure in choanal atresia repair to inadequate vomer resection. So vomer resection was performed as a part of choanal atresia repair in many studies [1,4,8,19]. In an experimental study, Cupero et al [20] concluded that resection of vomer not affects facial growth.…”

“…Moreover in more recent studies, safe extensive resection of vomerine septum, especially superiorly (Near total endoscopic removal of the bony septum) was done safely by Mcleod et al [8] with no clinical facial growth disturbance. Even all vomer could be removed safely by Romeh and Albirmawy [19] over their 13 years work. So it is established that vomer resection not affects facial growth.…”

Bilateral choanal atresia repair in neonates—A single surgeon experience

“…Ibrahim et al [10] published a series of 11 patients who were treated without stenting, with a primary success rate of 73%. The duration of stenting is also variable with some authors such as Romeh et al [11] having excellent primary success rates stenting for only 5-7 days.…”

To stent or not to stent? A meta‐analysis of endonasal congenital bilateral choanal atresia repair

“…The remaining 84 full‐text articles were reviewed in their entirety. Fifteen studies (n = 215 patients) satisfied the inclusion criteria and were included in the analysis . Four studies compared outcomes for patients who were stented postoperatively versus those who were not stented .…”

“…Four studies compared outcomes for patients who were stented postoperatively versus those who were not stented . Thirteen studies reported outcomes on patients who were stented; six studies reported outcomes on patients who were not stented . OCEBM levels of evidence varied from level 3 (one study) to 4 (14 studies) .…”