Surgical Management of Congenital Choanal Atresia

Fh, McGOVERN; Gs, Fitz-Hugh

doi:10.1001/archotol.1961.00740020641001

Cited by 37 publications

(10 citation statements)

References 9 publications

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“…Obvious airway obstruction, stridor, and cyclic cyanosis with crying are the usual presentations. A temporizing measure such as an oral airway, McGovern nipple [9] or intubation is required prior to definitive surgical treatment. There are several surgical approaches available for correction of bilateral choanal atresia each with their advantages, disadvantages and known complications [8].…”

Section: Introductionmentioning

confidence: 99%

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

Gujrathi

Daniel

James

et al. 2004

International Journal of Pediatric Otorhinolaryngology

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Section: Introductionmentioning

confidence: 99%

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

Gujrathi

Daniel

James

et al. 2004

International Journal of Pediatric Otorhinolaryngology

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“…In hindsight, the neonate (case 12) could have undergone transnasal curettage, which relies more on palpa¬ tion than visualization. Patient 14 was 3 years old when referred for bilateral 14 bony-membranous stenosis (No. 6 F catheter) following five transnasal dilations, with stenting each time of four weeks or less.…”

Section: Resultsmentioning

confidence: 99%

The Surgical Approach to Bilateral Choanal Atresia: Analysis of 14 Cases

Jd¹,

Gt²,

Wy³

1982

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\Bilateral choanal atresia presents as neonatal respiratory distress and suckling difficulty. Definitive repair of this anomaly by both transpalatine and transnasal approaches has been effective in young children. The transnasal procedures are preferred in infants because of the shorter operative time, low morbidity, and minimal potential for damage to developing structures. Fourteen children were treated for bilateral choanal insufficiency.

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“…8 (c) The McGovern nipple has been described as a secure method of maintaining the airway. 9 A large modified feeding teat with a hole in the end is secured using ties around the occiput. (d) Tracheostomy may be necessary in some infants with bilateral CA.…”

Section: Discussionmentioning

confidence: 99%