Experience with bilateral congenital atresia of the posterior nasal choanae

Atresia of the posterior nasal choanae is an unusual congenital condition. The embryological explanation is uncertain, that felt to be the most probable being presented here. Bilateral choanal atresia tends to be associated with neonatal airways obstruction and steps to be taken in its diagnosis and...

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Bibliographic Details
Published inJournal of laryngology and otology Vol. 100; no. 11; p. 1255
Main Author Prescott, C A
Format Journal Article
LanguageEnglish
Published England 01.11.1986
Subjects
Choanal Atresia - diagnosis
Choanal Atresia - embryology
Choanal Atresia - surgery
Humans
Infant, Newborn
Nasal Cavity - embryology
Nasal Cavity - surgery
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Summary:Atresia of the posterior nasal choanae is an unusual congenital condition. The embryological explanation is uncertain, that felt to be the most probable being presented here. Bilateral choanal atresia tends to be associated with neonatal airways obstruction and steps to be taken in its diagnosis and management are outlined. The definitive treatment of the condition is surgical excision, by either a trans-nasal or a trans-palatal approach. The conclusions arrived at as to the most effective method of management of these cases from a personal series of fourteen cases are detailed. A preference for the trans-nasal surgical approach is indicated and surgical details for this method are given, some aspects of which have not been previously reported.
ISSN:0022-2151
DOI:10.1017/S0022215100100933