Bilateral choanal atresia repair in neonates—A single surgeon experience

Freitas, Ryan P. De; Berkowitz, Robert G.

doi:10.1016/j.ijporl.2012.02.063

Cited by 32 publications

(34 citation statements)

References 18 publications

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“…13,15 The incidence of congenital anomalies associated with CCA changes between 24% and 85%. 4,10,14,15,18,20 In these studies, the incidence of associated congenital anomalies was found higher in patients with bilateral CCA compared with unilateral ones. The most common congenital anomaly was CHARGE.…”

Section: Discussionmentioning

confidence: 87%

“…In another study, the mean age of neonates with bilateral CCA at time of surgery was between 0 and 32 days (mean, 7.4 days). 18 Kim et al 15 reported the mean operation age for bilateral CCA was 4.9 months and 11.5 years for unilateral cases. In another study for bilateral CCA, the mean age was 4 days for bilateral and 12.1 years for unilateral.…”

Section: Discussionmentioning

confidence: 99%

“…Stenting was proposed for a successful surgery especially in neonates with bilateral CCA. 1,3,13,18,23 There is no consensus on duration of stenting among the authors who suggest stenting. The duration of stenting changes from 5 days to according to patients.…”

Section: Discussionmentioning

confidence: 99%

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Patients With Congenital Choanal Atresia Treated by Transnasal Endoscopic Surgery

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Özbay

Akdağ

et al. 2014

Journal of Craniofacial Surgery

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Congenital choanal atresia (CCA) is defined as a congenital failure in the development of communication between the nasal cavity and nasopharynx in newborns. It is the most common congenital anomaly of nose. Most of the patients presented with unilateral CCA. Neonates with bilateral CCA have severe respiratory distress after birth. Airway control with orotracheal intubation should be done immediately to save the life of neonate with bilateral CCA. After airway control, surgery should be performed as soon as possible. The aim of surgery is to create a patent nasal passage and to prevent restenosis with minimal morbidity. Transnasal endoscopic surgery of CCA has become the most popular treatment method. The retrospective review of 33 patients with CCA was presented in this study. The patients who were diagnosed at the neonate period and operated on in 6 months after birth were grouped as I (neonate). The patients who were diagnosed 6 months after birth were grouped as II (child-young adult). All patients were treated by transnasal endoscopic surgery. Stent were put in all patients to prevent restenosis. Although the restenosis rate was higher in group I (53.8%) than in group II (23.1%), it did not cause a statistically significant difference. Overall success rate of our surgical approach was 61.5%. Despite the surgical developments and many treatment modalities, restenosis is still the most challenging problem in CCA.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Patients With Congenital Choanal Atresia Treated by Transnasal Endoscopic Surgery

Kınış

Özbay

Akdağ

et al. 2014

Journal of Craniofacial Surgery

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show abstract

“…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 .…”

Section: Resultsmentioning

confidence: 99%

“…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) .…”

Section: Resultsmentioning

confidence: 99%