CT-assisted surgery in choanal atresia

To limit restenosis after surgical repair of choanal atresia. A total of 20 children (age range 3 days to 11 years) with choanal atresia underwent surgical repair using a microdebrider via an intranasal approach. Surgery was guided by CT. Mitomycin was administered at the end of the procedure. An av...

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Bibliographic Details
Published in:Acta oto-laryngologica 2004-05, Vol.124 (4), p.502-504
Main Authors: AYARI, Sonia, ABEDIPOUR, Darius, BOSSARD, Denis, FROEHLICH, Patrick
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Child, Preschool
Choanal Atresia - diagnostic imaging
Choanal Atresia - surgery
Female
Humans
Imaging, Three-Dimensional
Infant
Infant, Newborn
Male
Medical sciences
Nasal Bone - surgery
Nasal Mucosa - surgery
Otorhinolaryngology. Stomatology
Radiography, Interventional
Recurrence
Tomography, X-Ray Computed
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Summary:To limit restenosis after surgical repair of choanal atresia. A total of 20 children (age range 3 days to 11 years) with choanal atresia underwent surgical repair using a microdebrider via an intranasal approach. Surgery was guided by CT. Mitomycin was administered at the end of the procedure. An average of 1.7 procedures per child were required. CT combined with peroperative endoscopy revealed postoperative neo-osteogenesis and insufficient bone resection. CT-assisted intranasal repair led to extended bone resection of the atretic plate, the predominant cause of which was restenosis resulting from neo-osteogenesis.
ISSN:0001-6489
1651-2251
DOI:10.1080/00016480310000610