Empirical overview of a delayed diagnosis of bilateral congenital choanal atresia in an adolescent male: management with 'coblation-assisted surgery'

Bilateral choanal atresia (CA) is a congenital anomaly consisting of an imperforated choana that leads to newborn fatalities but, if unilateral, may go unnoticed for many years. Bilateral CA occurring without significant symptoms and remaining undiagnosed for many years is rare. This case report ide...

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Bibliographic Details
Published inBMJ case reports Vol. 16; no. 7; p. e254865
Main Authors Bhardwaj, Abhishek, Sood, Rachit, P S, Suji, Malhotra, Manu
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 25.07.2023
Subjects
Adolescent
Case reports
Catheters
Child development
Choanal Atresia - diagnostic imaging
Choanal Atresia - surgery
Congenital diseases
Delayed Diagnosis
Endoscopy
Endoscopy - methods
Humans
Infant, Newborn
Male
Medical diagnosis
Medical imaging
Mouth
Nose
Otolaryngology
Pediatrics
Stents
Teenagers
Treatment Outcome
Ear, nose and throat/otolaryngology
Otolaryngology / ENT
Ear, nose and throat
Paediatrics
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Summary:Bilateral choanal atresia (CA) is a congenital anomaly consisting of an imperforated choana that leads to newborn fatalities but, if unilateral, may go unnoticed for many years. Bilateral CA occurring without significant symptoms and remaining undiagnosed for many years is rare. This case report identifies an adolescent male with bilateral CA who remained undiagnosed till adolescence. The patient presented with isolated complaints of chronic nasal obstruction and discharge and was diagnosed with bilateral CA by endoscopic and radiological evaluation. The patient underwent a coblation-assisted endoscopic CA repair, with a crossover mucoperiosteal flap technique, without stenting and with a successful outcome.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2023-254865