Stentless endoscopic transnasal repair of bilateral choanal atresia starting with resection of vomer

El-Ahl, Magdy Abdalla Sayed; El‐Anwar, Mohammad Waheed

doi:10.1016/j.ijporl.2012.03.019

Cited by 34 publications

(41 citation statements)

References 23 publications

(44 reference statements)

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“…Using endonasal endoscopic approaches, small palatal perforations have been reported [33,51]. Such a perforation was also observed at admission in one case, which was previously operated on in another institution, and was due to a fausse route.…”

Section: Accepted Manuscriptmentioning

confidence: 86%

“…pterygoid plate and clivus. Every one of these structures has its specific ossification and growth pattern [33,39,[46][47][48][49]. The part of the medial pterygoid plate forming the lateral boundary of the choanae is already ossified at birth by intramembranous processes.…”

Section: Discussionmentioning

confidence: 99%

“…This method combined access through the natural orifice with microsurgical procedures under direct visualization, avoiding the limitations and complications of all the previous approaches, and enabled progressive integration of CCA surgery with the principles of MIS [26,28,31,[33][34][35][36]. Point of controversy remains the use of stents and of mitomycine [1].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comprehensive management of congenital choanal atresia

Brihaye

Delpierre

Villé

et al. 2017

International Journal of Pediatric Otorhinolaryngology

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Section: Accepted Manuscriptmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comprehensive management of congenital choanal atresia

Brihaye

Delpierre

Villé

et al. 2017

International Journal of Pediatric Otorhinolaryngology

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“…For a clear visualization and for managing BCCA more easily, many techniques for transnasal repair are recently described [7]. El-Ahr et al described an endoscopic transnasal surgery technique, be- Then the surgery could be done more easily by admitting the instrument from one nasal passage and endoscopy through the other passage [4]. Ibrahim et al also removed the post part of the septum and used the 'four hand technique' [5].…”

Section: Discussionmentioning

confidence: 99%

“…Endonasal stents are left for 6-12 weeks to prevent restenosis [6,7]. However there are published reports showing that procedures without stenting are also safe and effective [4,5]. Durmaz et al present the results of 13 patients and made a meta-analysis of similar studies in literature.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Two Different Treatment Modalities on a Bilateral Congenital Choanal Atresic Case

Gür¹,

Özel²,

Kaymakçı³

et al. 2016

Ann Clin Anal Med

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ÖzetBiz bu çalısmada; bilateral konjenital koanal atrezisi olan bir hastada iki farklı tedavi yöntemini karşılaştırdık. Burun tıkanıklığı ve bilateral rinore şikayeti ile kliniği-mize başvuran 5 yaşındaki kız çocuğuna yapılan nazal endoskopik muayenede koananın bilateral oblitere olduğu saptandı. Koanal atrezi transnazal endoskopik yaklaşım kullanılarak tedavi edildi. Endotrakeal tüp stent sağ koananın içine yerleşti-rilirken, sol koanaya stent konulmadı. Ameliyattan iki yıl sonra yapılan endoskopik muayenede koananın her iki tarafında da darlık saptanmadı. Bilateral konjenital koanal atrezi burun tıkanıklığına neden olur ancak yenidoğan dönemi sonrasında oldukça nadir görülür. Trans-nazal endoskopik yaklaşım etkili ve güvenli bir cerrahi tekniktir. Aynı hastada stent konulmasının veya konulmamasının özellikle doku iyileşmesi konusunda fark yaratmaması bize çok değerli bilgiler vermektedir. Ancak tek bir hasta kesin sonuca varmak için yeterli değildir. Bu konuda yapılacak daha büyük serili çalışmalar bize yön gösterecektir. Anahtar KelimelerNazal Obstrüksiyon; Koanal Atrezi; Stendleme AbstractWe report the comparisn of two different treatment modalities on a bilateral congenital choanal atresic patient. The nasal endoscopic examination of a 5-year-old girl who had nasal obstruction and bilateral rhinorrhea revealed bilateral obliterated choanas. The choanal atresia was corrected using the transnasal endoscopic approach. An endotracheal tube stent was inserted through the right choana while no stent was used for the left side. Two years after the operation, an endoscopic examination revealed no stenosis in either side. Bilateral congenital choanal atresia is rarely among the reasons for nasal obstruction in the postneonatal period. The transnasal endoscopic approach is a safe and effective surgical technique. As there will be no differences such as tissue healing factors, comparison of stenting and non-stenting on the same patient provides us with valuable information. However a single patient is not sufficient to arrive at a decisive conclusion. Studies conducted in the future on a large number of cases will provide us with more information.

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