Transnasal endoscopic neochoanal technique: An effective procedure for bilateral choanal atresia in adult female

Sutikno, Budi; Thaufiqurrakhman, Muhammad

doi:10.1016/j.ijscr.2021.106338

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…Dva puta je češća kod žena nego kod muškaraca. Može biti unilateralna i bilateralna, koštano tip (oko 70%) i mešoviti koštanomembranozni (oko 30%) sa različitim stepenom stenoze [1,2] . Većina slučajeva je zabeležena kod odojčadi [2], dok su odrasli pacijenti retkost [3,4].…”

Section: Uvodunclassified

“…Ovo stanje karakteriše stridor, cijanoza i asfiksija. Dijagnozu je potrebno postaviti odmah, po rođenju, jer je ovo stanje životno ugrožavajuće [1]. Jednostrana atrezija se obično dijagnostikuje do druge godine života.…”

Section: Diskusijaunclassified

“…U prevenciji restenoza, u najnovijoj literaturi, navodi se često postoperativno ispiranje nosa [11]. Sadašnji hirurški pristup ima cilj da minimizira tendenciju restenoze konstrukcijom što veće neohoane, bezbednim uklanjanjem zadnjeg dela vomera (posteriorna septektomija) i bušenjem medijalne pterigoidne ploče sfenoida, zatim prekrivanjem mukoznim flapovima svih ogoljenih koštanih površina [1]. U našem slučaju stent nije bio opcija iz više razloga, nedostupnosti pogodnih bioloških materijala, kao i nemogućnosti pacijentkinje da dolazi na česte kontrole.…”

Section: Dijagnozaunclassified

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Unilateral choanal atresia in an adult

Jovanović,

Valjarević,

Grubor

et al. 2023

Halo 194

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Introduction: Choanal atresia is a rare anomaly of the nasal cavity, which is associated with other congenital malformations in half of the cases. The diagnosis is usually made immediately after birth, but late diagnoses are not rare in otorhinolaryngology practice. Case report: We are presenting the case of an eighteen-year-old woman with a history of difficulty in breathing through her left nostril that lasted for many years, increased secretion from the nostril and frequent headaches. During preoperative preparation, computerized tomography of the paranasal sinuses revealed left-sided choanal atresia and obstruction in the region of the left osteomeatal complex, which was then successfully resolved using a modern surgical approach. She was observed postoperatively. A control examination with an endoscope was performed one month after the operation, indicating that both choanae were passable. Choanal atresia can be an isolated craniofacial malformation or associated with CHARGE, Teacher Collins, Down, Crouson and Pfeiffer syndromes. Bilateral choanal atresias are life-threatening. Unilateral choanal atresias can present with a variety of symptoms depending on the type of atresia and the age of the patient. Conclusion: The diagnosis is made with a clinical otorhinolaryngological examination, nasal endoscopy and computerized tomography of the paranasal sinuses and the skull base. The therapy is surgical.

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Unilateral choanal atresia in an adult

Jovanović,

Valjarević,

Grubor

et al. 2023

Halo 194

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“…Unilateral CCA is more common than bilateral with a female preponderance. As it is a congenital disease, there is a 20%–50% association with other genetic anomalies, with the CHARGE syndrome being the most common 1. As newborns are obligatory nasal breathers, bilateral CA can be easily diagnosed at birth or postnatal and treated as an emergency, given its life-threatening acute respiratory distress requiring an early surgical correction.…”

Section: Introductionmentioning

confidence: 99%

Empirical overview of a delayed diagnosis of bilateral congenital choanal atresia in an adolescent male: management with ‘coblation-assisted surgery’

Bhardwaj

Sood

et al. 2023

BMJ Case Rep

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Bilateral choanal atresia (CA) is a congenital anomaly consisting of an imperforated choana that leads to newborn fatalities but, if unilateral, may go unnoticed for many years. Bilateral CA occurring without significant symptoms and remaining undiagnosed for many years is rare. This case report identifies an adolescent male with bilateral CA who remained undiagnosed till adolescence. The patient presented with isolated complaints of chronic nasal obstruction and discharge and was diagnosed with bilateral CA by endoscopic and radiological evaluation. The patient underwent a coblation-assisted endoscopic CA repair, with a crossover mucoperiosteal flap technique, without stenting and with a successful outcome.

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“…Choanal atresia is a failure in connecting the nasal cavity to the nasopharynx. It occurs in 1:8000 of live births, more prevalent in women than men, 2:1 respectively (Sutikno & Thaufiqurrakhman 2021).…”

Section: Introductionmentioning

confidence: 99%

Unusual Choanal Atresia in Children

Ibnu

Kristyono

2022

FMI

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Highlights: Unusual CA in a 5-year-old boy with paranasal sinuses malformation in the ORL-HNS. Transnasal endoscopy posterior septectomy was successfully done. Abstract: Choanal atresia is a developmental failure of the nasal cavity to connect with the nasopharynx. The cause is either unilateral or bilateral nasal obstruction. Bilateral choanal atresia is a very rare condition and diagnosed soon after birth because neonates are obligate nasal breathers. Delayed diagnosis can cause death due to respiratory distress. The objective of this study was to report bilateral choanal atresia in 5-year-old boy who survived by breathing through his mouth using a simple tool made by his parent. It was a very rare condition because the posterior nasal cavity was covered by medial wall malformations of both maxillary sinuses which fused with the posterior nasal septum. The surgery method for this patient was posterior septectomy with transnasal endoscopic to create a neochoanae. The post-operative patient could breathe normally through his nose. Six weeks later, the nasal endoscopic evaluation indicated the patient’s patent neochoana.

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Transnasal endoscopic neochoanal technique: An effective procedure for bilateral choanal atresia in adult female

Cited by 5 publications

References 17 publications

Unilateral choanal atresia in an adult

Unilateral choanal atresia in an adult

Empirical overview of a delayed diagnosis of bilateral congenital choanal atresia in an adolescent male: management with ‘coblation-assisted surgery’

Unusual Choanal Atresia in Children

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