Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-19T15:55:42.021Z Has data issue: false hasContentIssue false
  • English
  • Français

Endoscopic fenestration of choanal atresia

Published online by Cambridge University Press:  29 June 2007

V. L. Cumberworth ,
B. Djazaeri  and
I. S. Mackay
V. L. Cumberworth*
Affiliation:
FESS Clinic, ENT Department, Charing Cross Hospital, Fulham Palace Road, London W6 8RF.
B. Djazaeri
Affiliation:
FESS Clinic, ENT Department, Charing Cross Hospital, Fulham Palace Road, London W6 8RF.
I. S. Mackay
Affiliation:
FESS Clinic, ENT Department, Charing Cross Hospital, Fulham Palace Road, London W6 8RF.
*
Address for correspondence: Mr V. L. Cumberworth, 14 Grafton Road, Harrow, Middlesex HA1 4QT.
Get access Rights & Permissions [Opens in a new window]

Abstract

We report two cases of unilateral choanal atresia and one of choanal stenosis treated successfully by endoscopic fenestration, with no recurrence at a mean follow-up of 18 months. Rigid endoscopy and axial CT scanning confirm the clinical diagnosis and this technique avoids the need for stenting or prolonged postoperative stay.

Keywords

Choanal atresiaEndoscopySurgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 1 , January 1995 , pp. 31 - 35
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bartal, N. (1988) An improved stent for use in the management of congenital posterior choanal atresia. Journal of Laryngology and Otology 102: 146–147.CrossRefGoogle ScholarPubMed
Boot, A. P., Drake-Lee, A. B. (1991) Unilateral choanal atresia. Journal of the Royal Society of Medicine 84: 622.CrossRefGoogle Scholar
Candan, S., Mizrak, S., Karagoz, M., Muhtar, H., Gumele, H. R. (1991) Bilateral congenital choanal atresia at age 16: an interesting case. Journal of Otolaryngology 20: 433–434.Google ScholarPubMed
Cinnamond, M. J. (1987) Congenital abnormalities of the nose. In Paediatric Otolaryngology. Vol. 6, Scott Brown's Otolaryngology. 5th Edition. (Kerr, A. G., Evans, J., eds.), Butterworths, London, pp 218–225.Google Scholar
Coniglio, J. U., Manzione, J. V., Hengerer, A. S., (1988) Anatomic findings and management of choanal atresia and the CHARGE association. Annals of Otology, Rhinology and Laryngology 97: 448–453.CrossRefGoogle ScholarPubMed
Dehaen, F., Clement, P. A. R. (1985) Endonasal surgical treatment of bilateral choanal atresia under optic control in the infant. Journal of Otolaryngology 14: 95–98.Google ScholarPubMed
El-Guindy, A., El-Sherief, S., Hagrass, M., Gamea, A. (1992) Endoscopic endonasal surgery of posterior choanal atresia. Journal of Laryngology and Otology 106: 528–529.CrossRefGoogle ScholarPubMed
Emmert, C. (1854) Stenochorie und atresia der choannen. Lehrbuch der speciellen chirurgie. Vol. 2. Dann, Stuttgart, pp 535–538.Google Scholar
Evans, J. N. G., MacLachlan, R. F. (1971) Choanal atresia. Journal of Laryngology and Otology 85: 903–929.CrossRefGoogle Scholar
Gross-Isseroff, R., Ophir, D., Marshak, G., Ganchrow, J. R., Beizer, M., Lancet, D. (1989) Olfactory function following late repair of choanal atresia. Laryngoscope 99: 1165–1166.CrossRefGoogle ScholarPubMed
Grundfast, K. M., Thomsen, J. R., Barber, C. S. (1990) An improved stent method for choanal atresia repair. Laryngoscope 100: 1132–1133.CrossRefGoogle ScholarPubMed
Hart, V. K. (1926) Congenital occlusion of the posterior nares: case report. Southern Medical Journal 19: 703.CrossRefGoogle Scholar
Ilium, P. (1986) Congenital choanal atresia treated by laser surgery. Rhinology 24: 205–209.Google Scholar
Kaplan, L. C. (1985) Choanal atresia and its associated anomalies. Further support for the CHARGE association. International Journal of Paediatric Otorhinolaryngology 8: 237–242.CrossRefGoogle ScholarPubMed
Koltai, P. J., Hoehn, J., Bailey, C. M. (1992) The external rhinoplasty approach for rhinologic surgery in children. Archives of Otolaryngology, Head and Neck Surgery 118: 401–405.CrossRefGoogle ScholarPubMed
Krespi, Y. P., Husain, S., Levine, T. M., Reede, D. L. (1987) Sublabial transseptal repair of choanal atresia or stenosis. Laryngoscope 97: 1402–1406.CrossRefGoogle ScholarPubMed
Maniglia, A. J., Goodwin, W. J. (1981) Congenital choanal atresia. Otolaryngologic Clinics of North America 14: 167–173.CrossRefGoogle ScholarPubMed
Maran, A. G. D., Lund, V. J. (1990). Clinical Rhinology, Ch. 2. Georg Thieme Verlag, Stuttgart, p 86.Google Scholar
McGovern, F. H. (1953) Association of congenital choanal atresia and congenital heart disease. Report of two cases. Annals of Otology 62: 894–895.Google ScholarPubMed
McIntosh, W. A. (1986) Trans-septal approach to unilateral posterior choanal atresia. Journal of Laryngology and Otology 100: 1133–1137.CrossRefGoogle ScholarPubMed
Morgan, D. W., Bailey, C. M. (1990) Current management of choanal atresia. International Journal of Paediatric Otorhinolaryngology 19: 1–13.CrossRefGoogle ScholarPubMed
Muntz, H. R. (1987) Pitfalls to laser correction of choanal atresia. Annals of Otology, Rhinology and Laryngology 96: 43–46.CrossRefGoogle ScholarPubMed
Otto, A. W. (1830). Lehrbuch der pathologischen anatomie des menschen und der thieve. Vol. 1, Ruecken, Berlin, pp 181–183.Google Scholar
Pagon, R. A., Graham, J. M., Zonana, J., Yong, S. L. (1981) Coloboma, congenital heart disease and choanal atresia with multiple anomalies: CHARGE association. Journal of Paediatrics 99: 223–227.CrossRefGoogle ScholarPubMed
Pirsig, W. (1986) Surgery of choanal atresia in infants and children: historical notes and updated review. International Journal of Paediatric Otorhinolaryngology 11: 153–170.CrossRefGoogle ScholarPubMed
Resouly, A., Barnard, J. D. W., Purnell, A. N. (1990) Access by Le Fort 1 osteotomy for correction of unilateral choanal atresia. Clinical Otolaryngology 15: 281–282.CrossRefGoogle Scholar
Rizzo, K. A., Kelly, M. F., Lowry, L. D. (1989) Diagnosis and treatment of congenital choanal atresia. Transactions of the Pennsylvanian Academy of Ophthalmology and Otolaryngology 41: 842–846.Google ScholarPubMed
Ronaldson, T. R. (1881) Note on a case of congenital closure of the posterior nares. Obstetrical Society of Edinburgh 1: 1035–1036.Google Scholar
Sculateri, N., Stool, S. E. (1988) A long-term, indwelling stent for maintainance of nasal patency in choanal atresia. Laryngoscope 98: 679–680.Google Scholar
Singh, B. (1990) Bilateral choanal atresia: key to success with the transnasal approach. Journal of Laryngology and Otology 104: 482–484.CrossRefGoogle ScholarPubMed
Singh, B. (1991) A safer transnasal technique for the management of bilateral choanal atresia. Journal of Laryngology and Otology 105: 1004–1005.CrossRefGoogle ScholarPubMed
Stankiewitz, J. A. (1990) The endoscopic repair of choanal atresia. Otolaryngology-Head and Neck Surgery 103: 931–937.CrossRefGoogle Scholar
Stansbie, J. M. (1992) Unilateral choanal atresia. Journal of the Royal Society of Medicine 85: 368.Google ScholarPubMed
Thaller, S. R., Kawamoto, H. K. (1988) Unilateral choanal atresia in adults: a new surgical approach. Annals of Plastic Surgery 20: 356–359.CrossRefGoogle ScholarPubMed