Endoscopic choanoplasty without stenting for congenital choanal atresia repair

Bilateral choanal atresia repair in neonates—A single surgeon experience

“…In this series, 52 patients were treated with only two patients requiring transpalatal repair, with a 96% primary success rate, with minimal complications. Despite these excellent results, there is a trend to endoscopic repair with powered instruments, with a shorter period of stenting [1,2,6,7], or no stenting [8][9][10].…”

“…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.…”

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

“…Congenital choanal atersia is defined as a failure in the development of communication between the nasal cavity and nasopharynx causing complete obstruction of the nasal airway [1]. Despite that it has a rare incidence of approximately 1 in 7000 births [2], congenital choanal atresia and stenosis are the most common craniofacial abnormalities of the nose [3].…”

Comparison of Two Different Treatment Modalities on a Bilateral Congenital Choanal Atresic Case

“…El-Ahr et al described an endoscopic transnasal surgery technique, be- Then the surgery could be done more easily by admitting the instrument from one nasal passage and endoscopy through the other passage [4]. Ibrahim et al also removed the post part of the septum and used the 'four hand technique' [5]. Hassan et al described combined a transoral-transantral approach in the repair of BCCA [6].…”

“…Endonasal stents are left for 6-12 weeks to prevent restenosis [6,7]. However there are published reports showing that procedures without stenting are also safe and effective [4,5]. Durmaz et al present the results of 13 patients and made a meta-analysis of similar studies in literature.…”