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Choanal Atresia

Clinical considerations for management

Published online by Cambridge University Press:  29 June 2007

Marshall Strome  and
Arthus S. Hengerer
Marshall Strome*
Affiliation:
Associate professor of Otolaryngology Harvard Medical School.
Arthus S. Hengerer
Affiliation:
Professor of Surgery, Chairman, Department of Otolaryngology—Head and Neck Surgery. University of Rochester School of Medicine and Dentistry.
*
Joint Center for Otolaryngology, 398 Brookline Avenue, Boston, Ma. 02215617-732-7003
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Abstract

Taking cognizance of the embryology and newer diagnostic techniques, the trans-palatal route is strongly recommended as the optimal surgical procedure for the management of choanal atresia. It should be performed as soon as general anesthesia can be safely administered. In selected instances, but particularly when a patient is at increased surgical risk, necessitating surgical brevity, the endonasal puncture technique should be considered as the initial procedure. Parents must be appraised of the potential for subsequent growth deficiencies, mental retardation, and crossbite.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 98 , Issue 12 , December 1984 , pp. 1207 - 1212
Copyright
Copyright © JLO (1984) Limited 1984

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References

Freng, A. (1978). Growth in Width of the Dental Arches After Partial Extirpation of the Mid-Palatal Suture in Man. Scandinavian Journal of Plastic and Reconstructive Surgery, 12: 267–275.CrossRefGoogle ScholarPubMed
Hall, B. D. (1979). Choanal Atresia and Associated Multiple Anomalies. Journal ofPediatrics, 95: 395–398.CrossRefGoogle ScholarPubMed
Hengerer, A. and Strome, M. (1982). Choanal Atresia: A New Embryological Theory and Its Influence on Surgical Management. Laryngoscope, 92: 913–921.CrossRefGoogle ScholarPubMed
Lantz, H. J. and Birck, H. G. (1981). Surgical Correction of Choanal Atresia in the Newborn. Laryngoscope, 91: 1629–1634.CrossRefGoogle Scholar
Strome, M. (1976). Choanal Atresia—An Updated Approach. Transactions of the American Academy of Ophthalmology and Otolaryngology, 92: 1499–1503.Google Scholar
Strome, M. (1982). Management of Choanal Atresia. In: Current Therapy in Otolaryngology—Head and Neck Surgery (Gates, G. A., ed). pp. 309–312B. C. Becker and Company, San Antonio.Google Scholar