eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Pediatric Otolaryngology

Choanal Atresia: Multimedia

Author: Ted L Tewfik, MD, FRCS(C), Professor, Department of Otolaryngology, Director of Continuing Medical Education of Otolaryngology, McGill University Medical School; Director, Director of Professional Affairs of Otolaryngology, Department of Otolaryngology, Montreal Children's Hospital; Senior Staff, Montreal General Hospital and Royal Victoria Hospital
Coauthor(s): Yaser ALI Alrajhi, MD, FRCSC, Fellow, Department of Otolaryngology, Division of Pediatric Otolaryngology, McGill University Faculty of Medicine; Abdulrahman A Hagr, MBBS, Staff Physician, Department of Otolaryngology, McGill University, Canada
Contributor Information and Disclosures

Updated: Oct 7, 2009

Multimedia

Choanal atresia. Rhinogram demonstrating blockage...Media file 1: Choanal atresia. Rhinogram demonstrating blockage of radiopaque dye at the posterior choanae. From T.L. Tewfik and V.M. Der Kaloustian, with permission.
Choanal atresia. Rhinogram demonstrating blockage...

Choanal atresia. Rhinogram demonstrating blockage of radiopaque dye at the posterior choanae. From T.L. Tewfik and V.M. Der Kaloustian, with permission.

Choanal atresia. CT scan showing membranous and b...Media file 2: Choanal atresia. CT scan showing membranous and bony choanal atresia. From T.L. Tewfik and V.M. Der Kaloustian, with permission.
Choanal atresia. CT scan showing membranous and b...

Choanal atresia. CT scan showing membranous and bony choanal atresia. From T.L. Tewfik and V.M. Der Kaloustian, with permission.

Choanal atresia. Diagram illustrating the transpa...Media file 3: Choanal atresia. Diagram illustrating the transpalatal correction of choanal atresia.
Choanal atresia. Diagram illustrating the transpa...

Choanal atresia. Diagram illustrating the transpalatal correction of choanal atresia.

More on Choanal Atresia

Overview: Choanal Atresia
Workup: Choanal Atresia
Treatment: Choanal Atresia
Multimedia: Choanal Atresia
References

References

  1. Barbero P, Valdez R, Rodríguez H, et al. Choanal atresia associated with maternal hyperthyroidism treated with methimazole: a case-control study. Am J Med Genet A. Sep 15 2008;146A(18):2390-5. [Medline].

  2. Assanasen P, Metheetrairut C. Choanal atresia. J Med Assoc Thai. May 2009;92(5):699-706. [Medline].

  3. Prasad M, Ward RF, April MM, Bent JP, Froehlich P. Topical mitomycin as an adjunct to choanal atresia repair. Arch Otolaryngol Head Neck Surg. Apr 2002;128(4):398-400. [Medline].

  4. Cedin AC, Fujita R, Cruz OL. Endoscopic transeptal surgery for choanal atresia with a stentless folded-over-flap technique. Otolaryngol Head Neck Surg. Nov 2006;135(5):693-8. [Medline].

  5. Al-Ammar AY. Presentation of choanal atresia in Saudi children. Saudi Med J. Nov 2006;27(11):1680-2. [Medline].

  6. Brown OE, Burns DK, Smith TH, Rutledge JC. Bilateral posterior choanal atresia: a morphologic and histologic study, and computed tomographic correlation. Int J Pediatr Otorhinolaryngol. Aug 1987;13(2):125-42. [Medline].

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  9. Crockett DM, Scamman FL, McCabe BF, Lusk RP, Gray SD. Venturi jet ventilation for microlaryngoscopy: technique, complications, pitfalls. Laryngoscope. Nov 1987;97(11):1326-30. [Medline].

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  11. Effat KG. Use of the automatic tympanometer as a screening tool for congenital choanal atresia. .J Laryngol Otol. 2005;119:125-8.

  12. Friedman NR, Mitchell RB, Bailey CM, Albert DM, Leighton SE. Management and outcome of choanal atresia correction. Int J Pediatr Otorhinolaryngol. Jan 30 2000;52(1):45-51. [Medline].

  13. Hackman TG, Ferguson BJ. Powered instrumentation and tissue effects in the nose and paranasal sinuses. Curr Opin Otolaryngol Head Neck Surg. Feb 2005;13(1):22-6. [Medline].

  14. Josephson GD, Vickery CL, Giles WC, Gross CW. Transnasal endoscopic repair of congenital choanal atresia: long-term results. Arch Otolaryngol Head Neck Surg. May 1998;124(5):537-40. [Medline].

  15. Lazar RH, Younis RT. Transnasal repair of choanal atresia using telescopes. Arch Otolaryngol Head Neck Surg. May 1995;121(5):517-20. [Medline].

  16. Panwar SS, Martin FW. Trans-nasal endoscopic holmium: YAG laser correction of choanal atresia. J Laryngol Otol. May 1996;110(5):429-31. [Medline].

  17. Pasquini E, Sciarretta V, Saggese D, Cantaroni C, Macrì G, Farneti G. Endoscopic treatment of congenital choanal atresia. Int J Pediatr Otorhinolaryngol. Mar 2003;67(3):271-6. [Medline].

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  19. Schoem SR. '. Otolaryngol Head Neck Surg. 2004.

  20. Schoem SR. Transnasal endoscopic repair of choanal atresia: why stent?. Otolaryngol Head Neck Surg. 2004.

  21. Vickery CL, Gross CW. Advanced drill technology in treatment of congenital choanal atresia. Otolaryngol Clin North Am. Jun 1997;30(3):457-65. [Medline].

  22. Wiatrak BJ. Unilateral choanal atresia: initial presentation and endoscopic repair. Int J Pediatr Otorhinolaryngol. Nov 15 1998;46(1-2):27-35. [Medline].

  23. Yaniv E, Hadar T, Shvero J, Stern Y, Raveh E. Endoscopic transnasal repair of choanal atresia. Int J Pediatr Otorhinolaryngol. Mar 2007;71(3):457-62. [Medline].

  24. Zeitouni AG, Shapiro RS. Congenital anomalies of the nose and anterior skull base. In: Tewfik TL, Der Kaloustian VM, eds. Congenital Anomalies of the Ear, Nose, and Throat. New York, NY: Oxford University Press; 1997:189-200.

Further Reading

Keywords

choanal atresia, complete nasal obstruction in a newborn, congenital choanal atresia, choanae, unilateral atresia, bilateral choanal atresia, complete nasal obstruction, definitive choanae, respiratory distress, atresia

Contributor Information and Disclosures

Author

Ted L Tewfik, MD, FRCS(C), Professor, Department of Otolaryngology, Director of Continuing Medical Education of Otolaryngology, McGill University Medical School; Director, Director of Professional Affairs of Otolaryngology, Department of Otolaryngology, Montreal Children's Hospital; Senior Staff, Montreal General Hospital and Royal Victoria Hospital
Ted L Tewfik, MD, FRCS(C) is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Society of Pediatric Otolaryngology, Canadian Medical Association, Canadian Society of Otolaryngology-Head & Neck Surgery, Quebec Medical Association, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Coauthor(s)

Yaser ALI Alrajhi, MD, FRCSC, Fellow, Department of Otolaryngology, Division of Pediatric Otolaryngology, McGill University Faculty of Medicine
Disclosure: Nothing to disclose.

Abdulrahman A Hagr, MBBS, Staff Physician, Department of Otolaryngology, McGill University, Canada
Abdulrahman A Hagr, MBBS is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and Canadian Society of Otolaryngology-Head & Neck Surgery
Disclosure: Nothing to disclose.

Medical Editor

Russell A Faust, MD, PhD, Consulting Staff, Department of Otolaryngology, Columbus Children's Hospital
Russell A Faust, MD, PhD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Legal Medicine, American Laryngological Rhinological and Otological Society, American Rhinologic Society, American Society for Head and Neck Surgery, and American Society of Law Medicine and Ethics
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Gregory C Allen, MD, Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Gregory C Allen, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Laryngological Rhinological and Otological Society, American Medical Association, Christian Medical & Dental Society, and Colorado Medical Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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