Prognostic Factors and Management of Patients with Choanal Atresia

To analyze prognostic factors in the management of patients with choanal atresia. This is a review of 114 patients operated on for choanal atresia in a tertiary care center between November 1986 and November 2016, including clinical characteristics, surgical management, and postoperative course with...

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Bibliographic Details
Published in:The Journal of pediatrics 2019-01, Vol.204, p.234-239.e1
Main Authors: Moreddu, Eric, Rossi, Marie-Eva, Nicollas, Richard, Triglia, Jean-Michel
Format: Article
Language:English
Subjects:
Adolescent
Alkylating Agents - therapeutic use
bilateral
Child
Child, Preschool
choanal atresia
Choanal Atresia - surgery
endoscopic repair
Endoscopy - adverse effects
Endoscopy - methods
Female
Humans
Infant
Male
Mitomycin - therapeutic use
nasal obstruction
Otorhinolaryngologic Surgical Procedures - adverse effects
Otorhinolaryngologic Surgical Procedures - methods
Prognosis
Risk Factors
Stents - adverse effects
Stents - statistics & numerical data
transpalatal
Treatment Outcome
unilateral
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Summary:To analyze prognostic factors in the management of patients with choanal atresia. This is a review of 114 patients operated on for choanal atresia in a tertiary care center between November 1986 and November 2016, including clinical characteristics, surgical management, and postoperative course with final nasal patency. The data were collected in a database that was updated over time. Among the 114 patients, 78 were female, 77 presented with unilateral choanal atresia, and 37 presented with bilateral unilateral choanal atresia, corresponding to 151 nasal fossae. Forty-seven patients had associated abnormalities (41.2%), including CHARGE, diagnosed in 20 children (17.5%). At the end of follow-up, 91 patients (79.8%) had normal choanal patency. The identified risk factors of surgical failure were age
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2018.08.074