“…Two case reports were excluded: one reclassified as a paramedian cleft (Wiltshire et al, 2003) and another described by the author as choanal stenosis (Patel et al, 2015). There were only 8 reported cases of choanal atresia associated with Tessier numbers 3 or 4 clefts (Dey, 1973; Tessier, 1976; Thatte et al, 1987; Ragavan et al, 2012; Allam et al, 2014; Ueda et al, 2015; Sung et al, 2020).…”