Choanal atresia, early diagnosis and therapy

Czech version

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

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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