Guidelines
Guidelines Summary
In August 2019, the International Pediatric Otolaryngology Group (IPOG) published consensus recommendations, including the following, with regard to pediatric choanal atresia diagnosis and care [17] :
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Nasal endoscopy or fiberscopy and computed tomography (CT) scanning are recommended diagnostic modalities
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Whenever possible, unilateral choanal atresia repair should wait until the patient is over age 6 months
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Treatment with transnasal endoscopic repair is preferred
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Patient follow-up for at least 1 year, via nasofiberscopy or rigid endoscopy (but without systematic imaging), is recommended
Media Gallery
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Choanal atresia. Rhinogram demonstrating blockage of radiopaque dye at the posterior choanae. From T.L. Tewfik and V.M. Der Kaloustian, with permission.
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Choanal atresia. CT scan showing membranous and bony choanal atresia. From T.L. Tewfik and V.M. Der Kaloustian, with permission.
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Choanal atresia. Diagram illustrating the transpalatal correction of choanal atresia.
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