Pediatric Choanal Atresia: Our Experience

JOURNAL TITLE: Clinical Rhinology

Author
1. Shruti Bhargava
2. Shashank Nath Singh
3. Mahendra S Hada
4. Beni Prasad
5. Mohnish Grover
6. Man Prakash Sharma
7. Gaurav Gupta
ISSN
0974-4630
DOI
10.5005/jp-journals-10013-1182
Volume
7
Issue
1
Publishing Year
2014
Pages
3
Author Affiliations
    1. PGIMER, Chandigarh, e-mail: drgauravpeds@yahoo.com
    2. Robertwood Johnson Medical School, University of Medicine and Dentistry of New Jersey, CAB-2100, New Brunswick, New Jersey, USA
    1. Department of ENT, SMS Medical College, Jaipur, Rajasthan, India
    1. Department of Pathology, SMS Medical College, Jaipur Rajasthan, India
    1. Department of ENT, SMS Medical College, Jaipur, Rajasthan India
    1. Department of ENT, SMS Medical College, Jaipur, Rajasthan India
    1. Department of ENT, SMS Medical College, Jaipur, Rajasthan India
    1. Department of ENT, SMS Medical College, Jaipur, Rajasthan India
  • Article keywords
    Choanal, Atresia, Management, Endoscopic

    Abstract

    Objective

    To discuss our experience with choanal atresia and factors affecting the results.

    Materials and methods

    A multicentric prospective study of patients diagnosed with choanal atresia from April 2008 to January 2014 at SMS Medical College, Jaipur and SP Medical College, Bikaner was conducted. All patients were evaluated by CT PNS and then operated by transnasal endoscopic route. Stents were placed in all patients. Patients were followed up for an average of 3.5 years (range 9 months to 5.5 years).

    Results

    Nineteen cases were included: 24 sides were operated. No intraoperative complications were there. A restenosis rate of 29.1% (7 out of 24) was found in our series requiring revision surgery.

    Conclusion

    Endoscopic transnasal approach is a safe and efficacious option for treatment of choanal atresia. Use of stent in our series was not associated with high rate of restenosis.

    How to cite this article

    Grover M, Gupta G, Bhargava S, Singh SN, Hada MS, Prasad B, Sharma MP. Pediatric Choanal Atresia: Our Experience. Clin Rhinol An Int J 2014;7(1):13-15.

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