Conclusion
Here we report a case of bilateral choanal atresia which is managed by transnasal perforation of atretic bony laminae using Hegar’s uterine dilators The baby’s airway is patent even after one year
Advantages of using Hegar’s dilator for correction of choanal atresia soon after birth are it is a blunt instrument, it’s curvature fits with the curvature of the nasal cavity, dilators of increasing sizes are available, and as such injuries to the nasopharynx and surrounding areas are avoided
We recommend this procedure as it is simple and effective in an emergency situation like bilateral choanal atresia Moreover this procedure is cheap when compared with other procedures
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References
Evans J N G and Maclachlan R F (1971) Choanai atresia Journal of Laryngology and Otology, 85 903–929
Devgan, B K and Harlans, W B (1977) Congenital choanai atresia Twenty years experience International Surgery, 62, 397–399
Benjamin, B (1985) Evaluation of chonal atresia Ann Otol Rhinol Laryngol, 94 429–432
Kaplan, L C (1985) Choanai atresia and its associated anomalies Further support for the CHARGE association International Journal of Pediatrie Otorhinolaryngology 8, 237–242
Michael L Schwartz, et al (1986) Choanal atresia Clinical features, Surgical approach, and long term follow up Laryngoscope 96 1335–1339
Morgan D W and Bailey C M, (1990) Current management of choanal atresia International Journal of Pediatric Otorhinolaryngology, 19 1–13
El-Guindy A, et al (1992) Endoscopic endonasal surgery of posterior choanal atresia Journal ot Laryngology and Otology, 106 528–529
Gershom-Baruch R, (1992) Choanal atresia evidence for autosomal recessive inheritance American Journal of Medical Genetics, 44 754–756
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John, M., Prethapan, N. Bilateral choanal atresia-Management with hegar’s dilator. Indian J Otolaryngol Head Neck Surg 56, 164–166 (2004). https://doi.org/10.1007/BF02974331
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DOI: https://doi.org/10.1007/BF02974331