Transnasal Endoscopic Approach using Nd: YAG Laser for Choanal Atresia

Kwak, Keeyong; Song, Youngchang; Jang, Chulho

doi:10.35420/jcohns.1999.10.1.87

J Clin Otolaryngol Head Neck Surg 1999; 10(1):87-89

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1999.10.1.87

증례

내시경과 Nd-YAG Laser를 사용한 선천성 후비공폐쇄의 치료

곽기용¹, 송영창¹, 장철호¹^,^*

Transnasal Endoscopic Approach using Nd: YAG Laser for Choanal Atresia

Keeyong Kwak¹, Youngchang Song¹, Chulho Jang¹^,^*

Author Information & Copyright ▼

¹원광대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, Wonkwang Medical School, Iksan, Korea

^*교신저자: 장철호, 570-711 전북 익산시 신용동 344-2 원광대학교 의과대학 이비인후과학교실 전화: (0653) 850-1311·전송: (0653) 841-6556 E-mail: chul@wonms.uonkwang.ac.kr

© Copyright 1999 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Nov 04, 1998; Accepted: Feb 07, 1998

Published Online: May 31, 2020

ABSTRACT

Choanal atresia is a congenital anomaly usually diagnosed at birth. The transnasal endoscopic route offers excellent visualization of the posterior choana, so the ability to open the defect widely with a high surgical success rate. Recently we have treated a case of unilateral membranous type using Nd：YAG laser. The advantage of the Nd：YAG laser is its fiber-optic delivery, allowing the laser to be hand-held, giving greater precision. Laser ablation of the obstructing tissues was attempted through a videoendoscope. The procedure was found to be safe, quick, with minimal morbidity and a shorter in-patient stay. Good nasal airway was achieved. We present the result of the transnasal endoscopic approach using Nd：YAG laser with review of literature. (J Clinical Otolaryngol 1999;10:87-89)

Keywords: Choanal atresia; Transnasal endoscopic approach; Nd：YAG laser