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Bilateral congenital choanal atresia encountered in late adulthood

Published online by Cambridge University Press:  09 July 2012

E Ç Tatar ,
A Özdek ,
F Akcan  and
H Korkmaz
E Ç Tatar*
Affiliation:
Department of Otolaryngology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ministry of Health, Ankara, Turkey
A Özdek
Affiliation:
Department of Otolaryngology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ministry of Health, Ankara, Turkey
F Akcan
Affiliation:
Department of Otolaryngology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ministry of Health, Ankara, Turkey
H Korkmaz
Affiliation:
Department of Otolaryngology, Yıldırım Beyazıt University, Ankara, Turkey
*
Address for correspondence: Dr Emel Çadallı Tatar, Ministry of Health, Ankara Dışkapı Yıldırım Beyazıt, Training and Research Hospital, Otolaryngology Department, Dışkapı, Ankara, Turkey Fax: +90 3123107169 E-mail: ectatar@gmail.com
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Abstract

Objective:

We describe a case of bilateral congenital choanal atresia in the oldest patient reported with this condition in the recent English language literature.

Method:

Case report and a review of the relevant English language literature, presenting the embryopathogenesis, diagnostic methods and treatment options for this condition.

Results:

A 53-year-old woman having difficulty with nasal breathing, and with a continuous nasal discharge, was admitted to our clinic. Bilateral congenital choanal atresia was diagnosed by endoscopic examination and paranasal sinus computed tomography. Surgical treatment used an endoscopic transnasal approach. The follow-up examination a year later revealed adequate choanal openings bilaterally.

Conclusion:

To our knowledge, this is the oldest patient with bilateral congenital choanal atresia to be reported in the recent literature. This condition is rarely encountered in adulthood but should be considered as a possible differential diagnosis of persistent nasal obstruction.

Keywords

Choanal AtresiaAdultNasal ObstructionsDiagnosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 9 , September 2012 , pp. 949 - 951
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Anderhuber, W, Stammberger, H. Endoscopic surgery of uni- and bilateral choanal atresia. Auris Nasus Larynx 1997;24:13–19CrossRefGoogle ScholarPubMed
2Gujrathi, CS, Daniel, SJ, James, AL, Forte, V. Management of bilateral choanal atresia in the neonate: an institutional review. Int J Pediatr Otorhinolaryngol 2004;68:399–407CrossRefGoogle ScholarPubMed
3Panda, NK, Simhadri, S, Ghosh, S. Bilateral choanal atresia in an adult: is it compatible with life? J Laryngol Otol 2004;118:244–5CrossRefGoogle Scholar
4Brown, OE, Pownell, P, Manning, SC. Choanal atresia: a new anatomic classification and clinical management applications. Laryngoscope 1996;106:97–101CrossRefGoogle ScholarPubMed
5Samadi, DS, Shah, UK, Handler, SD. Choanal atresia: a twenty-year review of medical comorbidities and surgical outcomes. Laryngoscope 2003;113:254–8CrossRefGoogle ScholarPubMed
6Voegels, RL, Chung, D, Lessa, MM, Lorenzetti, FT, Goto, EY, Butugan, O. Bilateral congenital choanal atresia in a 13-year-old patient. Int J Pediatr Otorhinolaryngol 2002;65:53–7CrossRefGoogle Scholar
7Singh, B. A safer transnasal technique for the management of bilateral choanal atresia. J Laryngol Otol 1991;105:1004–5CrossRefGoogle ScholarPubMed
8Yasar, H, Ozkul, MH. Bilateral congenital choanal atresia in a 51-year-old woman. Am J Rhinol 2007;21:716–18CrossRefGoogle ScholarPubMed