Choanal atresia: the 13 years’ experience of our department
DOI:
https://doi.org/10.34631/sporl.2071Keywords:
Choanal atresia, Congenital abnormalities, SurgeryAbstract
Objective: To audit our experience with Choanal Atresia (CA).Study design: Observational retrospective study.
Material/Methods: Clinical data of all CA patients followed from 2003 to 2020 at Hospital Central do Funchal were analysed.
Results: Eleven patients were included and 63,64% were females. They were divided into two groups: Unilateral (63,64%) and bilateral atresia (36,36%). In both groups, mixed type atresia was the most common. Regarding unilateral group, endoscopic repair was performed in 85,71% of cases (71,4% with stents) at a median age of 15 years old. Median number of surgeries was 1,29. Bilateral group had more congenital malformations (50%) and had more reinterventions. All patients underwent an endoscopic approach at a median age of 8 days old.
Conclusions: Associated malformations, younger age at first surgery and higher number of surgeries were more associated to bilateral CA.
References
Assanasen P, Metheetrairut C. Choanal atresia. J Med Assoc Thai. 2009 May;92(5):699-706.
Paradis J, Dzioba A, El-Hakim H, Hong P, Kozak FK, Nguyen LHP. et al. A national study of choanal atresia in tertiary care centers in Canada - part II: clinical management. J Otolaryngol Head Neck Surg. 2021 Jul 13;50(1):46. doi: 10.1186/s40463-021-00503-3.
van Schaik CGR, Paasch S, Albrecht T, Becker S. Treatment of choanal atresia in a cohort of 29 patients: determinants for success or failure. Int J Pediatr Otorhinolaryngol. 2022 Sep;160:111240. doi: 10.1016/j.ijporl.2022.111240.
Alsubaie HM, Almosa WH, Al-Qahtani AS, Margalani O. Choanal atresia repair with stents and flaps: a systematic review article. Allergy Rhinol (Providence). 2021 Dec 17;12:21526567211058052. doi: 10.1177/21526567211058052.
Flint P, Haughey B, Lund V, Robbins K, Thomas JR, Lesperance M. et al. Cummings Otolaryngology Head and Neck Surgery, E-Book, 3-Volume Set, 7th ed. Philadelphia: Elsevier; 2020. 3568 p.
DREM. Direção Regional de Estatística da Madeira. Resultados definitivos dos CENSOS 2021. Em foco [Internet] 2023 Jan 12; Disponível em: https://estatistica.madeira.gov.pt/download-now/social/popcondsoc-pt/popcondsoc-censos-pt/popcondsoc-censos-emfoco-pt/send/47-censos-emfoco/15577-em-foco-censos-2021-resultados-definitivos-1.html
Saraniti C, Santangelo M, Salvago P. Surgical treatment of choanal atresia with transnasal endoscopic approach with stent- less single side-hinged flap technique: a 5-year retrospective analysis. Braz J Otorhinolaryngol. 2017 Mar-Apr;83(2):183-189. doi: 10.1016/j.bjorl.2016.03.009.
Saraniti C, Santangelo M, Salvago P. Surgical treatment of choanal atresia with transnasal endoscopic approach with stentless single side-hinged flap technique: 5 year retrospective analysis. Braz J Otorhinolaryngol. 2017 Mar-Apr;83(2):183-189. doi: 10.1016/j.bjorl.2016.03.009.
Holzmann D, Ruckstuhl M. Unilateral choanal atresia: surgical technique and long-term results. J Laryngol Otol. 2002 Aug;116(8):601-4. doi: 10.1258/00222150260171588.
Grundfast KM, Thomsen JR, Barber GS. An improved stent method for choanal atresia repair. Laryngoscope. 1990 Oct;100(10 Pt 1):1132-3. doi: 10.1288/00005537-199010000-00020.
Brown OE, Smith P, Armstrong E, Grundfast KM. The evaluation of choanal atresia by computed tomography. Int J Pediatr Otorhinolaryngol. 1986 Nov;12(1):85-98. doi: 10.1016/s0165-5876(86)80061-1.
Lantz HJ, Brick HC. Surgical correction of choanal atresia in the neonate. Laryngoscope. 1981 Oct;91(10):1629-34. doi: 10.1288/00005537-198110000-00007.
Velegrakis S, Mantsopoulos K, Iro H, Zenk J. Long-term out- comes of endonasal surgery for choanal atresia: 28 years’ experience in an academic medical centre. Eur Arch Otorhinolaryngol. 2013 Jan;270(1):113-6. doi: 10.1007/s00405-012-1982-y.
Lazar RH, Younis RT. Transnasal repair of choanal atresia using telescopes. Arch Otolaryngol Head Neck Surg. 1995 May;121(5):517-20. doi: 10.1001/archotol.1995.01890050015003.
Nithyasundar A, Narayanan DS. Choanal atresia: experience with transnasal endoscopic technique. J Pharm Sci Res. 2016;8(2):86–87.
Sadek SA. Congenital bilateral choanal atresia: a novel stenting technique in neonates. Rev Laryngol Otol Rhinol (Bord). 2000;121(1):49-51.
Van Den Abbeele T, Francois M, Narcy P. Transnasal endo- scopic treatment of choanal atresia without prolonged stenting. Arch Otolaryngol Head Neck Surg. 2002 Aug;128(8):936-40. doi: 10.1001/archotol.128.8.936.
Rodríguez H, Cuestas G, Passali D. A 20-year experience in microsurgical treatment of choanal atresia. Acta Otorrinolaringol Esp. 2014 Mar-Apr;65(2):85-92. doi: 10.1016/j.otorri.2013.09.005.
Bartal N. An improved stent for use in the surgical management of congenital posterior choanal atresia. J Laryngol Otol. 1988 Feb;102(2):146-7. doi: 10.1017/s0022215100104360.
Richardson MA, Osguthorpe JD. Surgical management of choanal atresia. Laryngoscope. 1988 Sep;98(9):915-8. doi: 10.1288/00005537-198809000-00002.
Mantovani M, Mosca F, Laguardia M, Di Cicco M, Pignataro L. A new dynamic endonasal stent for bilateral congenital choanal atresia. Acta Otorhinolaryngol Ital. 2009 Aug;29(4):209-12.
Al-Qahtani AS, Messahel FM. Choanal atresia repair. The use of reinforced silicone tube to prevent restenosis. Rhinology. 2003 Mar;41(1):54-5.
Ceylan K, Emir H, Kizilkaye Z, Samim E. Bilateral congenital choanal atresia in a 7-day-old patient: transnasal endoscopic repair with stent. Eur Arch Otorhinolaryngol. 2007 Jul;264(7):837-40. doi: 10.1007/s00405-007-0265-5
El-Ahl MA, El-Anwar MW. Stentless endoscopic transnasal repair of bilateral choanal atresia starting with resection of vomer. Int J Pediatr Otorhinolaryngol. 2012 Jul;76(7):1002-6. doi: 10.1016/j.ijporl.2012.03.019.
El-Anwar MW, Nofal AA, El-Ahl MA. Endoscopic repair of bilateral choanal atresia, starting with vomer resection: evaluation study. Am J Rhinol Allergy. 2016 May;30(3):95-9. doi: 10.2500/ajra.2016.30.4321.
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