Choanal atresia – the last years of experience at the Hospital Dona Estefânia

Authors

  • Tiago Infante Velada CHULC, Portugal
  • Ricardo Damasco CHULC, Portugal
  • Isabel Correia CHULC, Portugal
  • Herédio Sousa CHULC, Portugal

DOI:

https://doi.org/10.34631/sporl.970

Keywords:

choanal atresia, surgical repair, transnasal

Abstract

Objectives: Report and characterize the group of children diagnosed with coanal atresia at a terciary referral pediatric hospital during the last 13 years.

Study design: Retrospective observational study of sixteen children with choanal atresia who underwent surgical intervention.

Results: thirteen patients were female and three male. We identified nine bilateral cases and seven unilateral. Regarding the type of obstruction, twelve cases were mixed and four were bone obstructions. We found an association to CHARGE syndrome in six cases. We found six recurrences requiring surgical reintervention.

Conclusions: Our epidemiological results have similarities with the literature. Our surgical success rates were superior in bilateral cases.

References

Carpenter RJ, Neel HB 3rd. Correction of congenital choanal atresia in children and adults. Laryngoscope. 1977 Aug;87(8):1304-11. doi: 10.1288/00005537-197708000-00010.

Burrow TA, Saal HM, de Alarcon A, Martin LJ, Cotton RT, Hopkin RJ. Characterization of congenital anomalies in individuals with choanal atresia. Arch Otolaryngol Head Neck Surg. 2009 Jun;135(6):543-7. doi: 10.1001/archoto.2009.53.

Kaplan LC. The CHARGE association: choanal atresia and multiple congenital anomalies. Otolaryngol Otolaryngol Clin North Am. 1989 Jun;22(3):661-72.

Adams DA, Cinnamond MJ. Paediatric otolaryngolory. In: Kerr A. ed. Scott-Brown’s Otolaryngology. 6th ed. vol. 6. EUA: CRC Press; 1996

Van Den Abbeele T, François M, Narcy P. Transnasal endoscopic treatment of choanal atresia without prolonged stenting. Arch Otolaryngol Head Neck Surg. 2002 Aug;128(8):936-40. doi: 10.1001/archotol.128.8.936.

Al-Ammar AY. The use of nasal stent for choanal atresia. Saudi Med J. 2008 Mar;29(3):437-40.

De Freitas RP, Berkowitz RG. Bilateral choanal atresia repair in neonates—a single surgeon experience. Int J Pediatr Otorhinolaryngol. 2012 Jun;76(6):873-8. doi: 10.1016/j.ijporl.2012.02.063.

Romeh HE, Albirmawy OA. A 13-year experience and predictors for success in transnasal endoscopic repair of congenital choanal obliteration. Int J Pediatr Otorhinolaryngol. 2010 Jul;74(7):737-42. doi: 10.1016/j.ijporl.2010.03.027.

Gosepath J, Santamaria VE, Lippert BM, Mann WJ. Forty-one cases of congenital choanal atresia over 26 years-retrospective analysis of outcome and technique. Rhinology. 2007 Jun;45(2):158-63.

Hengerer AS, Oas RE. Congenital Anomalies of the Nose: Their Embryology, Diagnosis and Management. 2nd ed. Washington: American Academy of Otolaryngology – Head and Neck Surgery Foundation Inc; 1987.

Eladl HM, Khafagy YW. Endoscopic bilateral congenital choanal atresia repair of 112 cases, evolving concept and technical experience. Int J Pediatr Otorhinolaryngol. 2016 Jun;85:40-5. doi: 10.1016/j.ijporl.2016.03.011.

Brown OE, Pownell P, Manning SC. Choanal atresia: a new anatomic classification and clinical management applications. Laryngoscope. 1996 Jan;106(1 Pt 1):97-101. doi: 10.1097/00005537-199601000-00019.

Kwong KM. Current updates on choanal atresia. Front Pediatr. 2015 Jun 9;3:52. doi: 10.3389/fped.2015.00052.

Ramsden JD, Campisi P, Forte V. Choanal atresia and choanal stenosis. Otolaryngol Clin North Am. 2009 Apr;42(2):339-52, x. doi: 10.1016/j.otc.2009.01.001.

Newman JR, Harmon P, Shirley WP, Hill JS, Woolley AL, Wiatrak BJ. Operative management of choanal atresia: a 15-year experience. JAMA Otolaryngol Head Neck Surg. 2013 Jan;139(1):71-5. doi: 10.1001/jamaoto.2013.1111.

Rahbar R, Jones DT, Nuss RC, Roberson DW, Kenna MA, McGill TJ. et al. The role of mitomycin in the prevention and treatment of scar formation in the pediatric aerodigestive tract: friend or foe? Arch Otolaryngol Head Neck Surg. 2002 Apr;128(4):401-6. doi: 10.1001/archotol.128.4.401.

Holland BW, McGuirt WF Jr. Surgical management of choanal atresia: improved outcome using mitomycin. Arch Otolaryngol Head Neck Surg. 2001 Nov;127(11):1375-80. doi: 10.1001/archotol.127.11.1375.

Published

2022-09-25

How to Cite

Infante Velada, T., Damasco, R., Correia, I., & Sousa, H. (2022). Choanal atresia – the last years of experience at the Hospital Dona Estefânia. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 60(3), 163–167. https://doi.org/10.34631/sporl.970

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Section

Original Article