gms | German Medical Science

GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

Deutsche Gesellschaft für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie e.V. (DGHNOKHC)

ISSN 1865-1038

Choanal imperforation, a retrospective study

Poster

  • corresponding author Marcel Cosgarea - Universität für Medizin " Iuliu Hatieganu" HNO Kli, Cluj-Napoca, Rumänien
  • Alma Maniu - HNO-KLinik Universität für Medizin und Pharmazie " Iuliu Hatieganu", Cluj- Napoca, Klausenburg, Rumänien
  • Sever Pop - HNO-KLinik Universität für Medizin und Pharmazie " Iuliu Hatieganu", Cluj- Napoca, Klausenburg, Rumänien
  • Violeta Necula - HNO-KLinik Universität für Medizin und Pharmazie " Iuliu Hatieganu", Cluj- Napoca, Klausenburg, Rumänien
  • Magdalena Chirila - HNO-KLinik Universität für Medizin und Pharmazie " Iuliu Hatieganu", Cluj- Napoca, Klausenburg, Rumänien
  • Doinel Radeanu - HNO-KLinik Universität für Medizin und Pharmazie " Iuliu Hatieganu", Cluj- Napoca, Klausenburg, Rumänien

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2006;2:Doc142

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/journals/cpo/2006-2/cpo000246.shtml

Published: April 24, 2006

© 2006 Cosgarea et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Abstract

The obliteration of the posterior nasal aperture is due to an obstructing membrane or bony wall in 1/8000 births, or by progressive stenosis of the posterior part of the nasal cavity. This obstruction can be complete or partial, is usually unilateral and in the most cases occurs in females.

We realised a retrospective study on a period of 10 years (1996-2005) in a group of 23 patients:children and adults.

Ages between 3 and 26 years. The number of children were 19 (the average age in children was 48 months).

We treat only 23 patients with unilateral atresia.

The confirmation of this congenital disorder with unknown etiology may be obtained by: characteristic clinical picture, endoscopic nasal aspect and computed tomography scan.

The objective of this study is to follow up the post-operative results of transnasal endoscopic repair in patients with choanal atresia to whom we used a stent for two months after the surgical procedure.

The endoscopic endonasal surgery in the surgical treatment of choanal atresia is a safe and highly succesfull procedure.

Using the endoscopic surgery, just as the postoperatory follow-up by routine revision endoscopy, prevents the complications due to the maintaining of the endonasal stents for 2 months, sliding of the tubes from the new created orifices and the restenosis or complete choanal closure.