Transnasal endoscopic repair of choanal atresia in a tertiary care centre: A review of outcomes

To stent or not to stent? A meta‐analysis of endonasal congenital bilateral choanal atresia repair

“…The remaining 84 full‐text articles were reviewed in their entirety. Fifteen studies (n = 215 patients) satisfied the inclusion criteria and were included in the analysis . Four studies compared outcomes for patients who were stented postoperatively versus those who were not stented .…”

“…Four studies compared outcomes for patients who were stented postoperatively versus those who were not stented . Thirteen studies reported outcomes on patients who were stented; six studies reported outcomes on patients who were not stented . OCEBM levels of evidence varied from level 3 (one study) to 4 (14 studies) .…”

“…Thirteen studies (n = 173 patients; Fig. ) included patients who were stented; the weighted pooled proportion of successful surgery was 65% (95% confidence interval [CI], 49–79%) . Six studies (n = 42) evaluated patients who were not stented; the weighted pooled proportion of successful surgery was 64% (95% CI, 42–84%).…”

Cirugía endoscópica en un niño con atresia unilateral de coana

“…Los dos aspectos más importantes en estos resultados son la creación de colgajos de mucosa y evitar el taponamiento nasal [18]. El uso de colgajos está basado en que solo una capa epitelial es capaz de prevenir la retracción en la cicatrización mientras que el taponamiento provoca ulceración, favorece la infección y daña los tejidos sanos [19][20][21]. CONCLUSIONES El tratamiento quirúrgico de la atresia de coana mediante cirugía endoscópica con creación de colgajos de mucosa intranasales y evitando el taponamiento nasal, puede reducir la posibilidad de reestenosis.…”

Atresia de coanas, revisión y una mirada desde la evidencia

“…En este estudio, los autores se dan cuenta de que la mayoría de los stents son utilizados en menores de 10 meses, pudiendo de esta manera influir como subgrupo de mayor riesgo y a su vez, predisponer a conclusiones erradas en el grupo de los pacientes tratados con stents y mitomicina. Sin embargo, no se realiza un ajuste de esta medida, quedando a criterio del lector 22 .…”