Skip to main content

Choanal Atresia

  • Living reference work entry
  • First Online:
  • 300 Accesses

Abstract

Choanal atresia or stenosis is the most common craniofacial defect of the nose. In choanal atresia there is either partial or complete obstruction of the one or both openings (posterior choanae) connecting the nasal cavity to the pharynx. Bilateral choanal atresia presents at birth with life-threatening airway obstruction, as neonates are obligate nasal breathers. The etiology of choanal atresia is largely unknown. Infants with bilateral choanal atresia will require stabilization of their airway soon after birth. Surgical repair should be performed early in bilateral choanal atresia if there are no medical contraindications.

This is a preview of subscription content, log in via an institution.

References

  • Barbero P, Valdez R, Rodriguez H, et al. Choanal atresia associated with maternal hyperthyroidism treated with methimazole: a case control study. Am J Med Genet A. 2008;146:2390–5.

    Article  Google Scholar 

  • Bedwell JR, Choi SS. Are stents necessary after choanal atresia repair? Laryngoscope. 2012;122:2365–6.

    Article  PubMed  Google Scholar 

  • Brown OE, Pownell P, Manning SC. Choanal atresia: a new anatomic classification and clinical management applications. Laryngoscope. 1996;106:97–101.

    Article  CAS  PubMed  Google Scholar 

  • Burrow TA, Saal HM, de Alarcon A, et al. Characterization of congenital anomalies in individuals with choanal atresia. Arch Otolaryngol Head Neck Surg. 2009;135:543–7.

    Article  PubMed  Google Scholar 

  • Clementi M, Di Gianantonio E, Cassina M, et al. Treatment of hyperthyroidism in pregnancy and birth defects. J Clin Endocrinol Metab. 2010;95:E337–41.

    Article  PubMed  Google Scholar 

  • Dedo HH. Transnasal mucosal flap rotation technique for the repair of bilateral choanal atresia. Otolaryngol Head Neck Surg. 2001;124:674–82.

    Article  CAS  PubMed  Google Scholar 

  • Eladl M, Khafagy YW. Endoscopic bilateral congenital choanal atresia repair of 112 cases, evolving concept and technical experience. Int J Pediatr Otorhinolaryngol. 2016;85:40–5.

    Article  PubMed  Google Scholar 

  • Freng A. Congenital choanal atresia: etiology, morphology and diagnosis in 82 cases. Scand J Plast Reconstr Surg. 1978a;12(3):261–5.

    Article  CAS  PubMed  Google Scholar 

  • Freng A. Growth in width of the dental arches after partial extirpation of the mid palatal suture in man. Scand J Plast Reconstr Surg. 1978b;12:267–72.

    Article  CAS  PubMed  Google Scholar 

  • Harris J, Robert E, Källén B. Epidemiology of choanal atresia with special reference to the CHARGE association. Pediatrics. 1997;99(3):363–7.

    Article  CAS  PubMed  Google Scholar 

  • Hasegawa M, Oku T, Tanaka H, et al. Evaluation of CT in the diagnosis of congenital choanal atresia. J Laryngol Otol. 1983;97:1013–5.

    Article  CAS  PubMed  Google Scholar 

  • Hengerer AS, Brickman TM, Jeyakumar A. Choanal atresia: embryologic analysis and evolution of treatment, a 30-year experience. Laryngoscope. 2008;118:862–6.

    Article  PubMed  Google Scholar 

  • Ibrahim AA, Magdy EA, Hassab MH. Endoscopic choanoplasty without stenting for congenital choanal atresia repair. Int J Pediatr Otorhinolaryngol. 2010;74:144–50.

    Article  PubMed  Google Scholar 

  • Keller JL, Kacker A. Choanal atresia, CHARGE association and congenital nasal stenosis. Otolaryngol Clin North Am. 2000;33:1343–51.

    Article  CAS  PubMed  Google Scholar 

  • Kubba H, Bennett A, Bailey CM. An update on choanal atresia surgery at Great Ormond Street Hospital for children: preliminary results with mitomycin C and KTP laser. Int J Paediatr Otorhinolaryngol. 2004;68:939–45.

    Article  Google Scholar 

  • Kwong KM. Current updates on choanal atresia. Front Pediatr. 2015;3:52.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lee LJ, Canfield MA, Hashmi SS, et al. Association between thyroxine levels at birth and choanal atresia or stenosis among infants in Texas, 2004–2007. Birth Defects Res A Clin Mol Teratol. 2012;94(11):951–4.

    Article  CAS  PubMed  Google Scholar 

  • Nour YA, Foad H. Swinging door flap technique for endoscopic transeptal repair of bilateral choanal atresia. Eur Arch Otorhinolaryngol. 2008;265:1341–7.

    Article  PubMed  Google Scholar 

  • Ramsden JD, Campisi P, Forte V. Choanal atresia and choanal stenosis. Otolaryngol Clin North Am. 2009;42:339–52.

    Article  PubMed  Google Scholar 

  • Samadi DS, Shah UK, Handier SD. Choanal atresia: a twenty year review of medical comorbidities and surgical outcomes. Laryngoscope. 2003;113:254–8.

    Article  PubMed  Google Scholar 

  • Schoem SR. Transnasal endoscopic repair of choanal atresia: why stent? Otolaryngol Head Neck Surg. 2004;131:362–6.

    Article  PubMed  Google Scholar 

  • Strychowsky JE, Kawai K, Moritz E, Rahbar R, Adil EA. To stent or not to stent? A meta-analysis of endonasal congenital bilateral choanal atresia repair. Laryngoscope. 2016;126(1):218–27.

    Article  PubMed  Google Scholar 

  • Teissier N, Kaguelidou F, Couloigner V, et al. Predictive factors for success after transnasal endoscopic treatment of choanal atresia. Arch Otolaryngol Head Neck Surg. 2008;134:57–61.

    Article  PubMed  Google Scholar 

  • Van Den Abbeele T, Francois M, Narcy P. Transnasal endoscopic treatment of choanal atresia without prolonged stenting. Arch Otolaryngol Head Neck Surg. 2002;128:936–40.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eimear Phelan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag GmbH Germany

About this entry

Cite this entry

Phelan, E., Russell, J. (2016). Choanal Atresia. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_42-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-38482-0_42-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-38482-0

  • Online ISBN: 978-3-642-38482-0

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics