Management of bilateral choanal atresia in the neonate: an institutional review

Gujrathi, Chetan; Daniel, Sam J.; James, Adrian L.; Forte, Vito

doi:10.1016/j.ijporl.2003.10.006

Cited by 96 publications

(90 citation statements)

References 17 publications

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“…In a large study of 52 cases mean age at surgery was 11.1 days, however all cases were intubated prior to surgical management [3]. In another study mean age at surgery was 8 days [7].…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of choanal atresia is reported in frequency of 1/7000 live births [2]. Unilateral stenosis is more common than bilateral and more frequent in females [3]. Unilateral cases are generally asymptomatic and present with unilateral nasal discharge and persistent nasal obstruction after first episode of upper respiratory tract infection in a new born [2].…”

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.

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“…In a large study of 52 cases mean age at surgery was 11.1 days, however all cases were intubated prior to surgical management [3]. In another study mean age at surgery was 8 days [7].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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“…However, it is worth bearing in mind that choanal atresia is the most common congenital pathology of the nasal cavities in infancy [2] with over 50 % of cases presenting unilaterally [10]. Infants with choanal atresia have difficulty breathing via their nostrils, with oral breathing only really occurring when the infant cries.…”

Section: Discussionmentioning

confidence: 99%

Respiratory Distress Secondary to Rhabdomyosarcoma of the Tongue and Co-existent Choanal Atresia

Chatopadhayay

Tiwari

Gangopadhyay

et al. 2015

J. Maxillofac. Oral Surg.

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Whilst rhabdomyosarcoma (RMS) is the third most common solid tumour in children, congenital RMS of the tongue is extremely rare and usually present as painless progressive mass since birth (Dagher and Helman in Oncologist 4:34-44, 1999; Childs and Goudy in Int J Pediatr Otorhinolaryngol 5:126-128, 2010). In neonates, presentation with respiratory distress is unexpected as neonates are preferential nasal breathers and restricted oral breathing due to tumour usually poses no problem. We herein report a case of rhabdomyosarcoma of the tongue with co-existent unilateral choanal atresia, presenting with respiratory distress. The baby developed upper respiratory tract infection following which developed severe respiratory distress. Airway symptoms were precipitated as there was combined obstruction of both the nostrils due to infection or adenoid enlargement and unilateral chonal atresia. Treatment of respiratory distress in the presence of RMS and bilateral nasal pathology must first prioritise the security of the airway, before taking a multi-factorial approach to the therapy of the lingual mass (Childs and Goudy in Int J Pediatr Otorhinolaryngol 5:126-128, 2010). This case illustrates the importance of vigilance with respect to coexistent nasal pathology, in order to avoid the occurrence of complete airway obstruction. We therefore feel that any diagnosis of lingual RMS should warrant a formal examination of both nasal cavities.

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“…In 1830, Otto recognized this condition as an anatomical disorder and the first surgery was performed by Emmert in 1851 [1][2][3] . It shows an incidence of 1:5,000-8,000 of live newborns, among which females are more affected than males in a 2:1 ratio.…”

Section: Introductionmentioning

confidence: 99%

“…Unilateral defects are more common than bilateral ones, while the right nostril is twice more affected than the left nostril 4,5 . Presumably, 90% of defects are of bony type, although recent literature shows that 70% of cases are mixed defects, that is, of bone-membranous type [1][2][3] . Association with other anomalies and syndromes ranges from 20 to 50%, with no genetic corroboration; the most common syndrome is CHARGE (coloboma, cardiovascular malformations, growth and mental retardation, urogenital and ear anomalies 1,4,5 ).…”

Section: Introductionmentioning

confidence: 99%

Atresia de coana: análise de 16 casos - a experiência do HRAC-USP de 2000 a 2004

Bergonse

Carneiro

Vassoler

2005

Rev. Bras. Otorrinolaringol.

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Choanal atresia is a rare disease and the incidence is 1: 5000-8000 newborns alive. It is more comom among female and usually is associated with others malformations. Study design: clinical retrospective. When unilateral its diagnose may be postpone because its symptoms are less life threating. But when bilateral children have important respiratory insuficency. This articles will report incidence and the expirience of HRAC-USP.

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Management of bilateral choanal atresia in the neonate: an institutional review

Cited by 96 publications

References 17 publications

Bilateral Choanal Atresia: Is it Really a Surgical Emergency?

Bilateral Choanal Atresia: Is it Really a Surgical Emergency?

Respiratory Distress Secondary to Rhabdomyosarcoma of the Tongue and Co-existent Choanal Atresia

Atresia de coana: análise de 16 casos - a experiência do HRAC-USP de 2000 a 2004

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