Congenital bilateral choanal atresia- Endonasal endoscopic surgery- Report of two cases

Authors

  • Sheikh Hasanur Rahman Associate Professor, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka
  • Mohammad Idrish Ali Consultant, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka
  • Kamrul Hasan Tarafder Professor, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka
  • Md Habibur Rahman Medical Officer, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka
  • Rokeya Begum Medical Officer, Department of pediatric Nephrology, NIKDU, Dhaka

DOI:

https://doi.org/10.3329/bjo.v24i1.45347

Keywords:

choanal atresia, congenital

Abstract

Congenital choanal atresia (CCA) is the development failure of the nasal cavity to communicate with nasopharynx. It is an uncommon congenital anomaly of nose with an incidence of approximately 1 in 5000-7000 live births. Choanal atresia is caused by failure of resorption of the nasobuccal membrane during embryonic development. Choanal atresia has a significant association with CHARGE syndrome. Surgical intervention is recommended in the first weeks of life in bilateral cases because this is a life threatening condition. Two cases of congenital bilateral choanla atresia (CCA) was admitted in the department of Otolaryngology & Head-Neck Surgery at Bangabandhu Sheikh Mujib Medical University (BSMMU) with the complaints of intermittent attacks of cyanosis, dyspnea, respiratory distress and history of inability to take feeds. On examination both babies had respiratory distress, mucoid discharge from both nasal cavities. A soft rubber catheter was passed into both nares revealed the diagnosis of bilateral CCA which was confirmed by flexible nasoendoscopy. Bilateral CCA was managed with a nasopharyngeal airway. Surgery is the definitive treatment with two main approaches namely transnasal and transpalatal. We discuss successful management of two neonates with bilateral CCA by endonasal endoscopic approach.

Bangladesh J Otorhinolaryngol; April 2018; 24(1): 85-89

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Published

2020-02-05

How to Cite

Rahman, S. H., Ali, M. I., Tarafder, K. H., Rahman, M. H., & Begum, R. (2020). Congenital bilateral choanal atresia- Endonasal endoscopic surgery- Report of two cases. Bangladesh Journal of Otorhinolaryngology, 24(1), 85–89. https://doi.org/10.3329/bjo.v24i1.45347

Issue

Vol. 24 No. 1 (2018)

Section

Case Reports

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