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Transnasal Endoscopic Microdrilling with Steroid Douching for Bony Choanal Atresia: A Novel Approach

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Abstract

Unilateral Choanal Atresia is relatively an uncommon condition which goes undiagnosed even during adulthood. Detection of unilateral choanal atresia in adults is based on Clinical and Radiological Study. Pure Bony Atresia treated with Transnasal Endoscopic Microdrilling followed with Steroid Nasal Douching prevents restenosis. Transnasal Endoscopic Microdrilling of bony atretic plate was done using High speed microdrill followed by Postoperative Steroid Nasal Douching. 5 Cases which was having pure bony atresia was operated using Transnasal Endoscopic microdrilling followed by 6 weeks Steroid nasal douching. No restenosis was observed on 6 months follow up.

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References

  1. Hengerer AS, Strome M (1982) Choanal atresia: a new embryologic theory and its influence on surgical management. The Laryngoscope 92(8):913–921

    Article  CAS  Google Scholar 

  2. Cumberworth VL, Djazaeri B, Mackay IS (1995) Endoscopic fenestration of choanal atresia. J Laryngol Otol 109(1):31–35

    Article  CAS  Google Scholar 

  3. Carpenter RJ, Bryan Neel III H (1977) Correction of congenital choanal atresia in children and adults. The Laryngoscope 87(8):1304–1311

    Article  CAS  Google Scholar 

  4. Van Den Abbeele T, François M, Narcy P (2002) Transnasal endoscopic treatment of choanal atresia without prolonged stenting. Arch Otolaryngol-Head Neck Surg 128(8):936–940

    Article  Google Scholar 

  5. Mohammadi G (2009) Unilateral choanal atresia in adults. J Pak Med Sci 25(5 Part 1):876–877

    Google Scholar 

  6. Anajar S, Hassnaoui J, Rouadi S, Abada R, Roubal M, Mahtar M (2017) A rare case report of bilateral choanal atresia in an adult. Int J Surg Case Rep 1(37):127–129

    Article  Google Scholar 

  7. Uzomefuna V, Glynn F, Al-Omari B, Hone S, Russell J (2012) Transnasal endoscopic repair of choanal atresia in a tertiary care centre: a review of outcomes. Int J Pediatr Otorhinolaryngol 76(5):613–617

    Article  Google Scholar 

  8. El-Ahl MA, El-Anwar MW (2012) Stentless endoscopic transnasal repair of bilateral choanal atresia starting with resection of vomer. Int J Pediatr Otorhinolaryngol 76(7):1002–1006

    Article  Google Scholar 

  9. Yaniv E, Hadar T, Shvero J, Stern Y, Raveh E (2007) Endoscopic transnasal repair of choanal atresia. Int J Pediatr Otorhinolaryngol 71(3):457–462

    Article  Google Scholar 

  10. Saraniti C, Santangelo M, Salvago P (2017) Surgical treatment of choanal atresia with transnasal endoscopic approach with stentless single side-hinged flap technique: 5 year retrospective analysis. Braz J Otorhinolaryngol 83(2):183–189

    Article  Google Scholar 

  11. Cedin AC, Atallah AN, Andriolo RB, Cruz OL, Pignatari SN (2012) Surgery for congenital choanal atresia. Cochrane Database Syst Rev 2012(2)

  12. Grayson JW, Harvey RJ (2019) Topical corticosteroid irrigations in chronic rhinosinusitis. Int Forum Allergy Rhinol 9(S1):S9–S15

    Article  Google Scholar 

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Correspondence to B. Vibha.

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Kumar, B.L.Y., Vibha, B. Transnasal Endoscopic Microdrilling with Steroid Douching for Bony Choanal Atresia: A Novel Approach. Indian J Otolaryngol Head Neck Surg 73, 193–196 (2021). https://doi.org/10.1007/s12070-020-02317-7

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  • DOI: https://doi.org/10.1007/s12070-020-02317-7

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