Endoscopic Repair of Congenital Choanal Atresia without Stenting at Queen Rania Pediatric Hospital

Abstract

Objective: To evaluate the effectiveness of endoscopic repair of congenital choanal atresia by removing the posterior aspect of the vomer bone along with the atretic plate without stenting. Methods: This retrospective study included 16 children aged (6 days-13 years) who presented or referred to Queen Rania Hospital with congenital choanal atresia. Patients who had unilateral, bilateral, primary or revision cases were included in the study. All patients underwent endoscopic repair by removing the posterior aspect of the vomer bone along with the atretic plate without stenting. All patients were followed up for 18 months. Results: Four patients were males, 12 were females. Three cases had bilateral atresia, one of them was revision. 13 cases were unilateral, 5 of them were revision cases. In unilateral cases the right side was involved in 8 cases and 5 in the left side. All cases were repaired endoscopically without stenting, only one patient out of 16 patients needed revision surgery. Conclusion: Endoscopic repair of choanal atresia (unilateral or bilateral, primary or secondary) without stenting is an effective and safe method of treating choanal atresia with a high success rate.