Choanal Atresia: Clinical Features and Factors Affecting Its Surgical Outcomes
Introduction: One of a rare congenital anomaly seen in the development of nose is choanal atresia, whose occurrence is 1 in 5000-8000 live births. This study highlights our experiences in the management of choanal atresia. Materials and methods: It is a retrospective study, which includes the sy...
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| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2024-05-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
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| Online Access: | https://bjohns.in/journal23/index.php/bjohns/article/view/83 |
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| author | Abhilasha Somashekhar Prem Kumar Sandhya Poothatta Manolikandy Syed Mohammed Shoib |
| author_facet | Abhilasha Somashekhar Prem Kumar Sandhya Poothatta Manolikandy Syed Mohammed Shoib |
| author_sort | Abhilasha Somashekhar |
| collection | DOAJ |
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Introduction: One of a rare congenital anomaly seen in the development of nose is choanal atresia, whose occurrence is 1 in 5000-8000 live births. This study highlights our experiences in the management of choanal atresia.
Materials and methods: It is a retrospective study, which includes the systematic analysis of case files of patients who underwent surgical treatment for choanal atresia from the year 2015 to 2022.
Results: Total of 11 cases (15 operated sides) which has 9 female (53%) and 8 male (47%). Majority of them were bony atretic plate (10) followed by mixed variety (5) and none purely membranous. Age at 1st surgery in bilateral cases ranged from 6th day of life to 18th day of life. For unilateral cases the age at 1st surgery ranged from 26th day of life to as late as 10 years old.
Conclusion: Management of choanal atresia involves multi-disciplinary approach and preventing restenosis is a challenge. Factors effecting the outcome of surgery are age and weight of the child, as bigger the child in size, wider the choanal arches can be opened with less post-operative scarring and restenosis. Usage of nasopharyngeal airway as a stent in primary repair during early post-operative period is essential to stabilize the nasal airway.
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| format | Article |
| id | doaj-art-0aa464f1d05f4f8cb78fbddf363648e2 |
| institution | Kabale University |
| issn | 2395-2393 2395-2407 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj-art-0aa464f1d05f4f8cb78fbddf363648e22025-02-11T09:43:33ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072024-05-0131310.47210/bjohns.2023.v31i3.83Choanal Atresia: Clinical Features and Factors Affecting Its Surgical OutcomesAbhilasha Somashekhar0Prem Kumar1Sandhya Poothatta Manolikandy2Syed Mohammed Shoib3Indira Gandhi Institute Of Child Health, BangaloreIndira Gandhi Institute Of Child Health, BangaloreIndira Gandhi Institute Of Child Health, BangaloreIndira Gandhi Institute Of Child Health, Bangalore Introduction: One of a rare congenital anomaly seen in the development of nose is choanal atresia, whose occurrence is 1 in 5000-8000 live births. This study highlights our experiences in the management of choanal atresia. Materials and methods: It is a retrospective study, which includes the systematic analysis of case files of patients who underwent surgical treatment for choanal atresia from the year 2015 to 2022. Results: Total of 11 cases (15 operated sides) which has 9 female (53%) and 8 male (47%). Majority of them were bony atretic plate (10) followed by mixed variety (5) and none purely membranous. Age at 1st surgery in bilateral cases ranged from 6th day of life to 18th day of life. For unilateral cases the age at 1st surgery ranged from 26th day of life to as late as 10 years old. Conclusion: Management of choanal atresia involves multi-disciplinary approach and preventing restenosis is a challenge. Factors effecting the outcome of surgery are age and weight of the child, as bigger the child in size, wider the choanal arches can be opened with less post-operative scarring and restenosis. Usage of nasopharyngeal airway as a stent in primary repair during early post-operative period is essential to stabilize the nasal airway. https://bjohns.in/journal23/index.php/bjohns/article/view/83Choanal atresiaManagement of choanal atresiaCHARGE syndromenasal stentingtransnasal endoscopic repair |
| spellingShingle | Abhilasha Somashekhar Prem Kumar Sandhya Poothatta Manolikandy Syed Mohammed Shoib Choanal Atresia: Clinical Features and Factors Affecting Its Surgical Outcomes Bengal Journal of Otolaryngology and Head Neck Surgery Choanal atresia Management of choanal atresia CHARGE syndrome nasal stenting transnasal endoscopic repair |
| title | Choanal Atresia: Clinical Features and Factors Affecting Its Surgical Outcomes |
| title_full | Choanal Atresia: Clinical Features and Factors Affecting Its Surgical Outcomes |
| title_fullStr | Choanal Atresia: Clinical Features and Factors Affecting Its Surgical Outcomes |
| title_full_unstemmed | Choanal Atresia: Clinical Features and Factors Affecting Its Surgical Outcomes |
| title_short | Choanal Atresia: Clinical Features and Factors Affecting Its Surgical Outcomes |
| title_sort | choanal atresia clinical features and factors affecting its surgical outcomes |
| topic | Choanal atresia Management of choanal atresia CHARGE syndrome nasal stenting transnasal endoscopic repair |
| url | https://bjohns.in/journal23/index.php/bjohns/article/view/83 |
| work_keys_str_mv | AT abhilashasomashekhar choanalatresiaclinicalfeaturesandfactorsaffectingitssurgicaloutcomes AT premkumar choanalatresiaclinicalfeaturesandfactorsaffectingitssurgicaloutcomes AT sandhyapoothattamanolikandy choanalatresiaclinicalfeaturesandfactorsaffectingitssurgicaloutcomes AT syedmohammedshoib choanalatresiaclinicalfeaturesandfactorsaffectingitssurgicaloutcomes |