A Rare Incidental Encounter of Unilateral Choanal Atresia During Adenotonsillectomy in a 5-Year-Old Child: A Case Report From Tanzania

Abraham, Zephania Saitabau; Massawe, Enica Richard; Mapondella, Kassim Babu; Kahinga, Aveline Aloyce; Ntunaguzi, Daudi

doi:10.32677/ijcr.2020.v06.i04.023

Cited by 3 publications

(4 citation statements)

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“…More than half of the patients with bilateral atretic choanal openings have other associated anomalies such as coloboma of the eye, heart defects, growth retardation, genital and/or urinary defects, and ear anomalies (CHARGE syndrome). Such patients with choanal atresia and other congenital anomalies require a multidisciplinary approach in terms of their management 1 , 8 . The case we are hereby reporting had no associated congenital anomalies.…”

Section: Discussionmentioning

confidence: 99%

“…Bilateral choanal atresia is a rare congenital anomaly where a newborn baby is born with bilateral imperforate posterior nares 1 , 2 . Such anomaly occurs due to a persistent oronasal membrane when it fails to break down at 38 weeks of gestational age 2 .…”

Section: Introductionmentioning

confidence: 99%

“…When congenital choanal atresia is unilateral, infants may go undiagnosed until when unilateral rhinorrhea and nasal obstruction necessitate seeking medical care 6 . Unlike unilateral choanal atresia, which may go undiagnosed for a couple of years, its counterpart, named bilateral choanal atresia, is a neonatal emergency in most cases diagnosed immediately after birth since the affected newborns present with respiratory distress immediately after birth 1 . The reason why neonates with bilateral choanal atresia present with a state of respiratory distress immediately after birth is due to their behavior of being obligate nasal breathers up to 6 weeks of life as they tend to have a larynx with a high position in the neck from the second to third cervical vertebrae 2 .…”

Section: Introductionmentioning

confidence: 99%

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Bilateral choanal atresia diagnosed in a 3-month-old female baby: a case report

Abraham

Kahinga

2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Bilateral choanal atresia is a congenital anomaly where a newborn baby is born with bilateral imperforate posterior nares. In most cases, the diagnosis is established immediately after birth due to respiratory distress since newborn babies are obligate nasal breathers till 6 weeks of life. Establishing the diagnosis requires a high index of suspicion as it is characterized by paradoxical cyclical cyanosis. Delayed diagnosis of bilateral choanal atresia is a rare encounter in clinical practice. We are hereby reporting a 3-month-old baby with bilateral choanal atresia, and perhaps it is the third latest diagnosed case of bilateral choanal atresia in Tanzania. Case Presentation: We present a 3-month-old female baby who was attended to at our department with a history of difficulty in breathing characterized by bilateral nasal obstruction since birth. The baby was admitted for 3 weeks due to episodes of respiratory distress after birth. She was thereafter discharged from the hospital and attended various hospitals without relief since the baby was managed as a case of adenoid hypertrophy. Clinical Discussion: The patient underwent bilateral transnasal endoscopic choanal atresia release with stenting under general anesthesia in the operating room. Postoperatively, she was kept on a nasal decongestant, a broad-spectrum antibiotic, and an analgesic. Regular suctioning was done during routine follow-up. Conclusion: Clinicians must have a high index of suspicion to establish the diagnosis of bilateral choanal atresia in newborn babies. Immediate surgical perforation of the atretic choanae with or without stenting remains to be the treatment of choice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bilateral choanal atresia diagnosed in a 3-month-old female baby: a case report

Abraham

Kahinga

2023

Annals of Medicine &Amp; Surgery

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“…Nasal foreign bodies like any other inhaled foreign bodies are commonly encountered in children and if encountered in adults then it's among mentally unwell people [16] , [18] . When foreign bodies are placed in the nasal cavity of a child then it lodges on the floor of the nose similar to what was found in our case report.…”

Section: Discussionmentioning

confidence: 99%