Congenital Choanal Atresia

Aj, Maniglia; Wj, Goodwin

doi:10.1016/s0030-6665(20)32300-8

Cited by 56 publications

(15 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…He subsequently advocated use of a Gruber aural speculum for exposure and operating from the tonsillectomy position (Singh, 1991). The importance of partial removal of the posterior vomer to prevent restenosis was highlighted by Maniglia and Goodwin (1981).…”

Section: Figmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic fenestration of choanal atresia

1995

View full text Add to dashboard Cite

show abstract

Section: Figmentioning

confidence: 99%

“…Various stents have been used in the management of CCA including an endotracheal (Portex) tube (Maniglia and Goodwin, 1981). Foley catheter (Bartal, 1988), a modified tracheostomy tube (Sculateri and Stool, 1988) and short intranasal stents secured sub-labially (Grundfast et al, 1990).…”

Section: Figmentioning

confidence: 99%

Endoscopic fenestration of choanal atresia

1995

View full text Add to dashboard Cite

show abstract

“…The introduction of the high-powered endoscope with separate light source in the early 1950s by Harold Hopkins and Karl Storz revolutionized endonasal surgery. In the mean time, the transnasal approach to bilateral choanal atresia became the procedure of choice, [1][2][3][4] while the transpalatinal technique was slowly replaced. The historical development of transnasal repair of congenital choanal atresia is reviewed by Josephson and co-workers 5 and Cumberworth and colleagues.…”

Section: Introductionmentioning

confidence: 99%

Unilateral choanal atresia: surgical technique and long-term results

Holzmann

Ruckstuhl

2002

J. Laryngol. Otol.

View full text Add to dashboard Cite

Although transnasal techniques to treat choanal atresia have become the standard, risks remain of restenosis of the opened choana requiring dilatations. In addition, a new technique without stenting and requiring less invasive post-operative care would be an improvement. With this in mind, in a non-randomized trial, a modification of the transnasal surgical repair was used in eight patients with unilateral choanal atresia by which no stents were used. While the standard procedure consists of partial resection of the bony septum and the atretic plate, we additionally removed lower parts of the anterior wall and the floor of the sphenoid sinus, creating a new airway canal from the nasal cavity to the sphenoid into the epipharynx. Post-operative care by the patient and the surgeon was noted. The success of choanal patency was followed by nasal endoscopy and rhinomanometry with a mean post-operative follow-up time of 1.9 years. In all patients, both choanae remained patent confirmed by nasal endoscopy and rhinomanometry showing almost symmetric resistance. Post-operative care comprised antibiotic prophylaxis and nasal douching with saline solution by the patient; no further treatment by the surgeon was necessary. According to these long-term results we would recommend this type of surgery for two reasons: the use of stents no longer necessary and post-operative care by the surgeon can be minimized.

show abstract

“…Unilateral atresia is more common than bilateral atresia in the proportion 3:2 (Kaplan, 1985), the incidence of bilateral choanal atresia being 5/7000 live births. Females appear to be affected twice as often as males (Maniglia and Goodwin, 1981). The right side is affected more often than the left.…”

Section: Discussionmentioning

confidence: 96%

Unilateral choanal atresia in siblings – a rare occurrence

Bhattacharyya

Lund

1996

J. Laryngol. Otol.

View full text Add to dashboard Cite

The genetic aspects of choanal atresia have not been clearly defined though it is probably a multifactorial trait as in cleft lip and cleft palate. The appearance of the condition in both single and successive generations supports this contention.Choanal atresia can occur as an isolated anomaly, but is more commonly associated with one or more concomitant congenital anomalies. In this report two sisters both in their teens presented with unilateral choanal atresia as an isolated anomaly. Endoscopic trans-nasal repair of choanal atresia was performed in both of them as this offers excellent visualisation and access.

show abstract

Congenital Choanal Atresia

Cited by 56 publications

References 11 publications

Endoscopic fenestration of choanal atresia

Endoscopic fenestration of choanal atresia

Unilateral choanal atresia: surgical technique and long-term results

Unilateral choanal atresia in siblings – a rare occurrence

Contact Info

Product

Resources

About