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Choanal Atresia

Clinical considerations for management

Published online by Cambridge University Press:  29 June 2007

Marshall Strome*
Affiliation:
Associate professor of Otolaryngology Harvard Medical School.
Arthus S. Hengerer
Affiliation:
Professor of Surgery, Chairman, Department of Otolaryngology—Head and Neck Surgery. University of Rochester School of Medicine and Dentistry.
*
Joint Center for Otolaryngology, 398 Brookline Avenue, Boston, Ma. 02215617-732-7003

Abstract

Taking cognizance of the embryology and newer diagnostic techniques, the trans-palatal route is strongly recommended as the optimal surgical procedure for the management of choanal atresia. It should be performed as soon as general anesthesia can be safely administered. In selected instances, but particularly when a patient is at increased surgical risk, necessitating surgical brevity, the endonasal puncture technique should be considered as the initial procedure. Parents must be appraised of the potential for subsequent growth deficiencies, mental retardation, and crossbite.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1984

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References

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