Choanal Atresia and Choanal Stenosis

Ramsden, James D.; Campisi, Paolo; Forte, Vito

doi:10.1016/j.otc.2009.01.001

Cited by 137 publications

(126 citation statements)

References 69 publications

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“…No case of unilateral atresia was operated during same period. In literature the prevalence for choanal atresia is 1 in 5000-9000 live births [2,4,8]. However, in present study only 0.004% cases of BCA were identified and operated.…”

Section: Discussioncontrasting

confidence: 53%

“…Syndromic associations should preferably be investigated prior to corrective surgery and its anesthetic feasibility [4]. Generally these cases are referred to otolaryngologist for recanalization surgery for emergency procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Bilateral choanal atresia (BCA) presents as medical emergency at birth [4]. New born with BCA makes vigorous attempts to inspire often sucks lips and develop cyanosis.…”

Section: Introductionmentioning

confidence: 99%

“…Distressed infant then cries and cyanosis disappears. Emergency airway management includes passage of oropharyngeal airway, orotracheal intubation or tracheostomy [2,4,5]. The definitive treatment includes nasal recanalization through transpalatal or transnasal route.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral Choanal Atresia: Is it Really a Surgical Emergency?

Kumar

Gupta

Naglot

et al. 2011

Indian J Otolaryngol Head Neck Surg

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To review the need of emergency recanalization surgical procedure in cases of bilateral choanal atresia. A retrospective analysis was undertaken for the cases of bilateral choanal atresia which were recanalized between January 2000 and February 2010 in a teaching hospital. Out of 135,954 live births (0.004%), six cases of bilateral choanal atresia were diagnosed and operated during this period. Five cases were hospital deliveries from our hospital whereas one case was referred from another hospital. Three cases were recanalized with dilatation procedure whereas the other three were endoscopically recanalized with micro-drill. All the cases were operated in routine operation theatre. All were managed with orogastric tube or oropharyngeal airway during the waiting period for surgery. No neonate required emergency intubation or tracheostomy. The average age at the time of surgery was 10 days (range 5-21 days). As per our observations recanalization surgery for bilateral choanal atresia is not a surgical emergency. Neonates can be managed temporarily with orogastric tube/oropharyngeal airway during waiting period. Subsequently surgery can be done in routine and unhurried operation theater by experienced surgical hands thus minimizing the morbidity.

show abstract

Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

“…Bilateral choanal atresia (BCA) presents as medical emergency at birth [4]. New born with BCA makes vigorous attempts to inspire often sucks lips and develop cyanosis.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral Choanal Atresia: Is it Really a Surgical Emergency?

Kumar

Gupta

Naglot

et al. 2011

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…It is defined as malformation of the posterior nasal aperture interfering with airflow from the nose to the rhino-pharynx. The reported incidence is 1-2 per 10,000 live births with a female preponderance [2] . The exact etiology of choanal atresia is not known but it is thought to be multifactorial.…”

Section: Introductionmentioning

confidence: 99%