POST-OPERATIVE FOLLOW-UP IN CHILDREN WITH CHOANAL ATRESIA

Eliza Brożek-Mądry, *Lidia Zawadzka-Głos, Mieczysław Chmielik

Summary
Choanal atresia in children can appear as an isolated congenital malformation or coexists in certain syndromes. The Department of Paediatric Otolaryngology of the Medical University of Warsaw is one of a few centres where surgical treatment of choanal atresia is performed.
Aim: Objective evaluation of nasal patency and laryngological examination of patients operated on with a transnasal approach. Material and method: A group of seven children with choanal atresia operated transnasally was examined. In this group nasal patency was evaluated using rhinomanometry and a complete laryngological examination concentrating on palate motility and phonation was performed.
Results: In the studied group the laryngological examination with particular interest in the oral and nasal cavity is presented. There were three patients with nasalization and three patients with nasal cavity obturation to various extent presented in rhinomanometry.
Conclusions: 1. Material analysis of children operated on in 1995-2007 shows an increased number of transnasal operations, which correlates with the world literature. 2. Rhinomanometry is a reliable and non-invasive method in postoperative monitoring of nasal patency. 3. Nasal decongestants show a lesser influence on the rhinomanometry results on the operated side, especially in children presenting in follow-up with nasal patency disorders. 4. Presence of nasalization in operated patients suggests the necessity of further examination of phonation in follow-ups.

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