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Experience with bilateral congenital atresia of the posterior nasal choanae

Published online by Cambridge University Press:  29 June 2007

C. A. J. Prescott
C. A. J. Prescott*
Affiliation:
Specialist in Otolaryngology, Red Cross War Memorial Children' Hospital, Cape Town.
*
Dr. C. A. J. Prescott, Department of Otolaryngology,Medical School, Observatory, 7925, Cape Town, South Africa.
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Summary

Atresia of the posterior nasal choanae is an unusual congenital condition. The embryological explanation is uncertain, that felt to be the most probable being presented here. Bilateral choanal atresia tends to be associated with neonatal airways obstruction and steps to be taken in its diagnosis and management are outlined. The definitive treatment of the condition is surgical excision, by either a trans-nasal or a trans-palatal approach. The conclusions arrived at as to the most effective method of management of these cases from a personal series of fourteen cases are detailed. A preference for the trans-nasal surgical approach is indicated and surgical details for this method are given, some aspects of which have not been previously reported.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 100 , Issue 11 , November 1986 , pp. 1255 - 1261
Copyright
Copyright © JLO (1984) Limited 1986

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