Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
종설

신생아의 양측성 후비공 폐쇄증 1례

여승근1, 박경유1, 김기주1, 김재호1
Seung Geun Yeo1, Kyung-You Park1, Ki Ju Kim1, Jae Haw Kim1
1을지의과대학 이비인후과학교실
1Department of Otolaryngology, Eul-Ji Medical College, Taejeon, Korea

© Copyright 1998 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.

Published Online: May 31, 2020

ABSTRACT

Choanal atresia is the congenital failure of one or both posterior nasal apertures to communicate with the nasopharynx. Coexisting congenital anomalies are persent in 20% to 50% of patients in most series. Bilateral choanal atresia almost always presents in the newborn as respiratory distress, suckling difficulty and cyanosis relieved by crying. Some babies can compensate this dangerous problem by rapidly learning mouth breathing. Bilateral choanal atresia in newborns and infants carries significant morbidity and mortality, therefore, prompt correction is required. In the operations employed, the following four different approaches are used : transnasal, transseptal, transantral and, most commonly, transpalatal. Transpalatal approach affords superior visualization, a shorter stenting period, and a higher overall success rate, making it more useful for revision surgery.

The authors recently experienced a case of bilateral choanal atresia in 17days old female, which was treated by transpalatal approach and report the case with review of liferatures.

Keywords: Bilateral choanal atresia; Transpalatal approach