An International Journal Clinical Rhinology

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VOLUME 9 , ISSUE 3 ( September-December, 2016 ) > List of Articles

CASE REPORT

Bilateral Complete Congenital Choanal Atresia in an 18-month-old Female Child with Rare Clinical Presentation: Transnasal Endoscopic Repair with Stent

Satyawati Mohindra

Keywords : Congenital choanal atresia,Stent,Transnasal endoscopic repair

Citation Information : Mohindra S. Bilateral Complete Congenital Choanal Atresia in an 18-month-old Female Child with Rare Clinical Presentation: Transnasal Endoscopic Repair with Stent. Clin Rhinol An Int J 2016; 9 (3):153-154.

DOI: 10.5005/jp-journals-10013-1292

Published Online: 01-12-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Case report

The patient is an 18-month-old female child, born full term, by cesarean section (for cephalopelvic disproportion) with birth weight 3,750 gm to a 30-year-old primigravida. There were no immediate prenatal or postnatal medical or surgical problems in the mother. The child cried immediately after birth, there was no postnatal respiratory distress, cyanosis, or any major hospital admission. On examination, microcephaly (head circumference 46 cm below 2 standard deviation of the mean), hypertelorism, ani-Mongolian slanted eyes, left side cleft lip with high arched palate with malocclusion were observed. She presented late with c/o nasal discharge and mild breathing difficulty on breastfeeding. The catheter test revealed the diagnosis of BCCA. Noncontrast computed tomography (CT) scan nose was done, which showed nonposterior choana blocked with bony plates on both the sides (Fig. 1). The paranasal sinuses, orbit, and anterior nasal cavities were within normal limits. Transnasal endoscopic repair was done under general anesthesia. Endoscopy revealed a bony atresia (Fig. 2), which was drilled out keeping the direction medially and inferiorly. Feeding tubes were fashioned as stents and placed for a period of 6 weeks. There were no postoperative complications. The patient was referred to pediatric surgery for other problems. Endoscopy confirmed bilateral patency at 12 weeks postoperatively.

How to cite this article

Mohindra S, Gupta AK. Bilateral Complete Congenital Choanal Atresia in an 18-month-old Female Child with Rare Clinical Presentation: Transnasal Endoscopic Repair with Stent. Clin Rhinol An Int J 2016;9(3):153-154.


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  1. Transnasal endoscopic repair of congenital choanal atresia. Arch Otolaryngol Head Neck Surg 1988 May;124(5):537-540.
  2. Endoscopic fenestration of choanal atresia. J Laryngol Otol 1995 Jan;109(1):31-35.
  3. Choanal atresia: a new anatomic classification and clinical management applications. Laryngoscope 1996 Jan;106(1 Pt 1):97-101.
  4. Surgery of choanal atresia in infants and children: historical notes and undated review. Int J Pediatr Otorhinolaryngol 1986 Apr;11(2):153-170.
  5. Endoscopic repair of bilateral congenital choanal atresia. Laryngoscope 2002 Feb;112(2):316-319.
  6. Transnasal repair of choanal atresia using telescopes. Arch Otolaryngol Head Neck Surg 1995 May;121(5):517-520.
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