Choanal atresia, early diagnosis and therapy
Authors:
M. Jurovčík; R. Pavel; L. Kešnerová; Z. Čada
Authors‘ workplace:
Klinika ušní, nosní a krční 2. LF UK a FN Motol, Praha
Published in:
Čes-slov Neonat 2024; 30 (1): 59-64.
Category:
Reviews
Overview
Choanal atresia is the most common congenital defect of the nasal cavity. Bilateral involvement manifests as respiratory distress in the newborn. It is often accompanied by other syndromic or non-syndromic defects. Early diagnosis and treatment requires a multidisciplinary approach. Currently, treatment is based on endoscopically controlled surgical procedures. If the anatomical conditions are suitable, transnasal endoscopic choanoplasty is the method of choice. The number of recurrences of the disease decreased and the risk of injury to surrounding structures was reduced. Unilateral atresias, if diagnosed, usually do not require acute management in the neonatal period. There is inconsistency as to whether a stent should be inserted after surgery.
Keywords:
endoscopy – children – choanal atresia
Sources
- Kwong KM. Current updates on choanal atresia. Front Pediatr 2015; 3: 52. Dostupné z: doi: 10.3389/fped.2015.00052.
- Čábalová L, Komínek P, Zeleník K. Obstrukce dýchacích cest u dětí z pohledu otorinolaryngologa. Pediatr. Praxi. 2014; 15(2): 70–73.
- Hengerer AS, Brickman TM, Jeyakumar A. Choanal atresia: Embryologic analysis and evolution of treatment, a 30-year experience. Laryngoscope 2008; 118: 862–866. Dostupné z: doi: 10.1097/MLG.0b013e3181639b91.
- Roehm CE, Lawrason A, Valdez TA. Nasal obstruction in newborn. In: Kountakis SE, editor. Encyclopedia of otolaryngology, head and neck surgery. Berlin: Springer 2013: 1746–1757.
- WHO Reproductive Health Library. WHO recommendations on newborn health: Guidelines approved by the WHO Guidelines Review Committee. Geneva: WHO 2017.
- Mason K, Royan D, Daya H, et al. Use of a modified stethoscope to assess paediatric nasal airflow in suspected choanal atresia, nasal stents or nasopharyngeal airways. Clin Otolaryngol 2020; 45: 654–655. Dostupné z: doi: 10.1111/coa.13534.
- Walsh J, Rastatter J. Neonatal tracheostomy. Clin Perinatol 2018; 45: 805–816. Dostupné z: doi: 10.1016/j.clp.2018.07.014.
- Urbančič J, Vozel D, Battelino S, et al. Management of choanal atresia: National recommendations with a comprehensive literature review. Children (Basel) 2023; 10(1): 91. Dostupné z: doi: 10.3390/children10010091
- Lau K, Stavrakas M, Ray J. Lasers in rhinology: An update. Ear Nose Throat J 2020; 100: 77S–82S. Dostupné z: doi: 10.1177/0145561320940115.
- Strychowsky JE, Kawai K, Moritz E, et al. To stent or not to stent? A meta-analysis of endonasal congenital bilateral choanal atresia repair. Laryngoscope 2016; 126: 218–227. Dostupné z: doi: 10.1002/lary.25393.
- ElSalmawy A, Abdelfattah G, Farag T, et al. Role of proton pump inhibitor in healing after choanal atresia repair: A randomized control trial. Egypt J Otolaryngol 2022; 38: 44. Dostupné z: https:// doi.org/10.1186/s43163-022-00210-4.
- Gundle L, Ojha S, Hendry J, et al. Stenting versus stentless repair for bilateral choanal atresia: A systematic review of the literature. Int J Pediatr Otorhinolaryngol 2021; 151: 110926. Dostupné z: https://doi.org/10.1016/j.ijporl.2021.110926.
- Černá L, Jurovčík M, Konečná E, et al. Atrézie choan u dětí − Retrospektivní studie pětiletého souboru: Volná sdělení. Otorinolaryngol Foniatr 2014; 63(2): 122.
- Moreddu E, Rizzi M, Adil E, et al.; International Pediatric Otolaryngology Group (IPOG). Consensus recommendations: Diagnosis, pre-operative, operative and post-operative pediatric choanal atresia care. Int J Pediatr Otorhinolaryngol 2019; 123: 151–155. Dostupné z: doi: 10.1016/j.ijporl.2019.05.010.
- Elsheikh E, El-Anwar MW. False computed tomography findings in bilateral choanal atresia. Int Arch Otorhinolaryngol 2016; 20: 163–165. Dostupné z: doi: 10.1055/s-0035-1570314.
- Yilmaz Topçuoğlu MS, Hammitsch-Mayer A, Plinkert PK, et al. Versorgung von choanalatresien in Deutschland: Dorsale septumresektion und stents im fokus [Choanal atresia repair in Germany: Resection of dorsal septal parts and stents in focus]. HNO 2024; 72(3): 199−203. Dostupné z: doi: 10.1007/s00106-02301410-x.
Konflikt zájmů: žádný. Došlo do redakce: 1. 5. 2024
Adresa pro korespondenci:
MUDr. Michal Jurovčík
Klinika ušní, nosní a krční 2. LF UK a FN Motol
V Úvalu 84
150 06 Praha 5
e-mail: michal.jurovcik@fnmotol.cz
Labels
Neonatology Neonatal NurseArticle was published in
Czech and Slovak Neonatology
![Issue 1](https://www.prolekare.cz/media/cache/resolve/journal_issue/media/image_pdf/0a7dff5c0685de8d517caa02cd22c9c0.jpg)
2024 Issue 1
Most read in this issue
- Cleft facial defects
- Abdominal wall defects – gastroschisis, omphalocele
- Choanal atresia, early diagnosis and therapy
- Congenital heart defects in low birth weight newborns