Choanal Atresia Guidelines

Updated: Apr 02, 2021
  • Author: Ted L Tewfik, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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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] :

  • Nasal endoscopy or fiberscopy and computed tomography (CT) scanning are recommended diagnostic modalities
  • Whenever possible, unilateral choanal atresia repair should wait until the patient is over age 6 months
  • Treatment with transnasal endoscopic repair is preferred
  • Patient follow-up for at least 1 year, via nasofiberscopy or rigid endoscopy (but without systematic imaging), is recommended