Prognostic Factors and Management of Patients with Choanal Atresia

Moreddu, E.; Rossi, Marie-Eva; Nicollas, R.; Triglia, Jean‐Michel

doi:10.1016/j.jpeds.2018.08.074

Cited by 27 publications

(23 citation statements)

References 25 publications

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“…However, in children of age more than one year with mild symptoms, stents were not recommended due to the possibility of complications. Similar results were also reported by Moreddu [25] in a review in which stenting was performed in 85 of 114 patients from November 1986 to November 2016. The study concluded that no stent was equally safe, as no significant difference was seen in terms of the number of procedures or patency.…”

Section: Reviewsupporting

confidence: 88%

Choanal Atresia Repair in Pediatric Patients: Is the Use of Stents Recommended?

Albdah¹,

Alanbari

Alwadi

2019

Cureus

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Choanal atresia, the obliteration or narrowing of nasal choana, is widely studied across the pediatric and adult population. While unilateral choanal atresia can remain unidentified for several years, bilateral choanal atresia requires immediate intervention, as children are primarily nasal breathers until the initial four months of age. Several surgical methods are reported for repairing choanal atresia in children, and the choice of postoperative management with or without stents is still controversial. In this review, we analyzed several recent studies in which surgery for choanal atresia repair was followed by stent-assisted and/or stentless management. The results of this study are likely to pave the way for a further understanding of the choice of method to increase patency and reduce possible complications.

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Section: Reviewsupporting

confidence: 88%

Choanal Atresia Repair in Pediatric Patients: Is the Use of Stents Recommended?

Albdah¹,

Alanbari

Alwadi

2019

Cureus

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“…Reported cases of bilateral choanal atresia in adults underwent transpalatal procedures because the small nasal cavity precludes the use of endoscopes and instruments. Moreddu et al reported that 70% of neonatal patients with BCA were operated with transpalatal approach [14]. In adults, the transnasal endoscopic approach is a safe and efficient technique.…”

mentioning

confidence: 99%

Bilateral choanal atresia in a 60-year-old man: A case report and review of the literature

Mengi¹

2020

North Clin Istanbul

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Choanal atresia is a congenital condition referring to the blockage of the posterior nasal cavity. As bilateral choanal atresia causes complete nasal congestion, it usually results in death due to asphyxia in the newborn if no emergency intervention is performed. Therefore, it is very rare to see a patient with bilateral choanal atresia who has reached an advanced age. There are only 11 adult cases reported in the recent literature. Here we report a case of a 60-year-old man diagnosed with bilateral choanal atresia and we discuss the clinical presentation and treatment modalities with a review of the literature.

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“…13 On the other hand, a study on 114 CA patients reported a significant association between the use of Mitomycin and a greater number of required operations (3.31 vs 2.01;P<.001), yet no association was found in terms of patency. 16 Poorer outcome association with the use of Mitomycin was observed in other studies as well; since it's used to manage refractory atresia. 17,18 To the contrary, a retrospective review on 17 patients demonstrated the efficacy of Mitomycin on many aspects.…”

Section: Discussionmentioning

confidence: 70%

Transnasal puncture technique vs endoscopic transnasal choanal atresia repair

Al-Khatib¹,

Haneef²,

Alhusaini³

et al. 2019

JOENTR

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Aim: to evaluate the outcome of endoscopic technique for treating choanal atresia (CA) cases as well as to compare it with that of transnasal puncture. Methods: A retrospective cohort study was performed at the Otolaryngology-Head Neck Surgery department, King Abdulaziz University Hospital, Jeddah, KSA during the period between 2010-2017. Results: The type of first operation (endoscopic or transnasal puncture) was shown to have a significant relation to the restenosis rate after the first operation (P=0.02), where initial puncture repair had less restenosis rate. On the other hand, there was no significant difference between the two surgical techniques regarding the duration between the first and second operations (p-value=0.064), the required stenting period postoperatively (p-value=0.934), nor the total number of required operations (p-value=0.206). The use of Mitomycin, stents and decongestants had no significant effect on restenosis rate (p-values=0.515, 1.00 and 0.838 respectively). Conclusion: Endoscopic transnasal choanal atresia repair technique did not prove to be superior to older puncture technique. Stenting had no significant effect on repair outcome. Mitomycin C had somewhat a positive effect on prolonging restenosis. We believe that a transoral endoscopic approach might be superior technique to current transnal technique.

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Prognostic Factors and Management of Patients with Choanal Atresia

Cited by 27 publications

References 25 publications

Choanal Atresia Repair in Pediatric Patients: Is the Use of Stents Recommended?

Choanal Atresia Repair in Pediatric Patients: Is the Use of Stents Recommended?

Bilateral choanal atresia in a 60-year-old man: A case report and review of the literature

Transnasal puncture technique vs endoscopic transnasal choanal atresia repair

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