Long-term experience in the management of choanal atresia

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

Summary
Summary
Choanal atresia occurs as an isolated congenital malformation or it is associated with other malformations. In Pediatric Otolaryngology Department in Warsaw children with choanal atresia have been operated for many years.
Material and method. Authors present a large material with a group of patients operated due to choanal atresia in Otolaryngology Department, Medical Academy of Warsaw in years 1959-2007. The operations were conducted in these children either by transpalatal or transnasal approach. The patients´ characteristics was presented in children with unilateral and bilateral changes. The operated children were evaluated in terms of reoperation necessity.
Results. between 1959 and 2007 a group of 136 patients was operated due to choanal atresia with a total number of 183 operations including 47 reoperations.
Conclusions. (1) Choice of operating method depends on anatomic conditions and experience of particular operating centre (2). Stent removal – when they achieve good mobility in posterior choanae and can be easily moved to nasopharynx (3). Method gaining much attention in the management of chonal atresia resently is transnasal approach due to the development of endoscopic techniques (4). Children with bilateral choanal atresia require re-dilation more frequently (5). Bilateral choanal atresia is more common in children with co-existing anomalies and with perinatal burden.

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