Endoscopic Repair of Unilateral Choanal Atresia

CSurgeries ◽  
2021 ◽  
Author(s):  
Sarah Maurrasse ◽  
Alexander Moushey ◽  
Kiley Trott
Keyword(s):  
Choanal Atresia ◽  
Endoscopic Repair

scholarly journals Bilateral Choanal Atresia and Endoscopic Surgery: A Chance for CHARGE Patients

2021 ◽  
Vol 10 (13) ◽  
pp. 2951
Author(s):  
Maria Baldovin ◽  
Diego Cazzador ◽  
Claudia Zanotti ◽  
Giuliana Frasson ◽  
Athanasios Saratziotis ◽  
...  
Keyword(s):  
Congenital Malformation ◽  
Endoscopic Surgery ◽  
Granulation Tissue ◽  
Choanal Atresia ◽  
Tissue Formation ◽  
Endoscopic Repair ◽  
Granulation Tissue Formation ◽  
Charge Association ◽  
Cohort Data

Bilateral choanal atresia (CA) is a rare congenital malformation frequently associated with other anomalies. CHARGE association is closely linked to bilateral CA. The aim of this study was to describe the outcomes of the endoscopic repair in bilateral CA, and to assess the role of postoperative nasal stenting in two cohorts of CHARGE-associated and non-syndromic CA. Thirty-nine children were retrospectively analyzed (16 patients had CHARGE-associated CA). The rate of postoperative neochoanal restenosis was 31.3% in the CHARGE population, and 47.8% in the non-syndromic CA cohort. Data on postoperative synechiae and granulation tissue formation, need for endonasal toilette and dilation procedures, and number of procedures per patient were presented. Stent positioning led to a higher number of postoperative dilation procedures per patient in the non-syndromic cohort (p = 0.018), and to a higher rate of restenosis both in the CHARGE-associated, and non-syndromic CA populations. Children with CHARGE-associated and non-syndromic bilateral CA benefitted from endonasal endoscopic CA correction. The postoperative application of an endonasal stent should be carefully evaluated.

Repair of Choanal Atresia and Oro-Nasal Fistula in One Sitting

2012 ◽  
Vol 49 (2) ◽  
pp. 249-250
Author(s):  
Hussam M. El-Bosraty ◽  
Mosaad M. Abdel-Aziz
Keyword(s):  
Hard Palate ◽  
Choanal Atresia ◽  
Endoscopic Repair ◽  
Palatal Fistula

A seven month-old girl with bilateral choanal atresia presented to our institution with oro-nasal fistula secondary to a previous atresia repair. Examination revealed obstruction of both choanae and the presence of a fistula located in the hard palate. Endoscopic repair of the atresia and a two-layer closure of the fistula were carried out in one sitting. Follow-up of the patient for 6 months showed patent choanae and a healed palatal fistula.

Performance of endoscopic repair with endonasal flaps for congenital choanal atresia. A systematic review

2021 ◽  
Vol 72 (1) ◽  
pp. 51-56
Author(s):  
R. Bartel ◽  
M. Levorato ◽  
M. Adroher ◽  
S. Cardelus ◽  
A. Diaz ◽  
...  
Keyword(s):  
Systematic Review ◽  
Choanal Atresia ◽  
Endoscopic Repair

Use of Steroid-Eluting Stents after Endoscopic Repair of Choanal Atresia: A Case Series with Review

2020 ◽  
Vol 129 (10) ◽  
pp. 1003-1010
Author(s):  
Lyndy J. Wilcox ◽  
Matthew M. Smith ◽  
Alessandro de Alarcon ◽  
Madison Epperson ◽  
Hayley Born ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Choanal Atresia ◽  
Case Series ◽  
Charge Syndrome ◽  
Primary Outcome Measure ◽  
Drug Eluting Stent ◽  
Inclusion Criteria ◽  
Endoscopic Repair ◽  
Surgical Interventions ◽  
Drug Eluting

Objective(s): To describe a single institution’s experience with the use of steroid-eluting stents after endoscopic transnasal repair of choanal atresia. Methods: A case series with review of children who underwent choanal atresia repair at a tertiary children’s hospital from June 2017 to January 2018 was performed. Those who had a mometasone drug-eluting stent (Propel® Mini, Intersect ENT Inc., Palo Alto, CA) placed after primary or secondary choanal atresia repair at our institution were included. The primary outcome measure was need for revision surgery due to stenosis. Postoperative regimens, duration of stenting, and need for return to the operating room (OR) were also assessed. Results: Five patients with a median age of 22 months at the time of repair met inclusion criteria. Two (40%) had bilateral atresia and 3 (60%) had confirmed CHARGE syndrome. A total of 6 mometasone drug-eluting stents were used in the 5 cases. Three patients were reassessed at least once in the OR; however, the majority (57.1%) of postoperative evaluations were able to be performed in the office or bedside setting. The first and last evaluations occurred a mean of 14 and 124 days after surgery, respectively. There were no instances of restenosis, repeat surgical interventions, or stent-related complications noted. Conclusion: Placement of a mometasone drug-eluting stent is a promising method to improve postoperative results and management of choanal atresia repair by limiting the need for repeat anesthetics and OR procedures, as well as the complications of traditional stents.

Endoscopic Repair of Bilateral Choanal Atresia, Starting with Vomer Resection: Evaluation Study

2016 ◽  
Vol 30 (3) ◽  
pp. e95-e99 ◽  
Author(s):  
Mohammad Waheed El-Anwar ◽  
Ahmad Abdel Fattah Nofal ◽  
Magdy Abdalla Sayed El-Ahl
Keyword(s):  
Choanal Atresia ◽  
Evaluation Study ◽  
Endoscopic Repair

Stentless mirrored L-shaped septonasal flap versus stented flapless technique for endoscopic endonasal repair of bilateral congenital choanal atresia: a prospective randomised controlled study

2018 ◽  
Vol 132 (4) ◽  
pp. 329-335 ◽  
Author(s):  
M O Tomoum ◽  
M H Askar ◽  
M F Mandour ◽  
M A Amer ◽  
M E Saafan
Keyword(s):  
Choanal Atresia ◽  
Controlled Study ◽  
Endoscopic Repair ◽  
Endoscopic Endonasal ◽  
Randomised Controlled Study ◽  
Group A ◽  
Choanal Stenosis ◽  
Group B ◽  
Randomised Controlled ◽  
Endoscopic Assessment

AbstractObjectives:To compare the outcomes of endoscopic repair of bilateral congenital choanal atresia using a flap technique without stenting versus endoscopic repair using stenting without a flap.Methods:A prospective randomised controlled study was conducted, comprising 72 patients with bilateral congenital choanal atresia. The patients were randomised into two groups. Group A (42 patients) underwent endoscopic repair using a mirrored L-shaped flap without stenting, and group B (30 patients) underwent endoscopic repair using stenting without a flap.Results:At a mean follow-up period of 18.2 months, endoscopic assessment revealed a patent posterior choana in 81 per cent and 83.33 per cent of patients in group A and group B respectively. Choanal stenosis occurred in 21.40 per cent and 33.33 per cent of patients in group A and group B respectively. Granulation tissue was observed in 28.6 per cent and 53.3 per cent of patients in group A and group B respectively.Conclusion:The endoscopic approach utilising a flap without stenting is safe and effective, with a high success rate.

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