Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-23T17:06:49.471Z Has data issue: false hasContentIssue false
  • English
  • Français

The transnasal flexible laryngoesophagoscope as an adjunct during surgical correction of choanal atresia

Published online by Cambridge University Press:  21 August 2012

E J Fitzgerald O'Connor  and
J S Phillips
E J Fitzgerald O'Connor*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
J S Phillips
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
*
Address for correspondence: Mr Edmund J Fitzgerald O'Connor, CT1, Department of Otolaryngology, Head and Neck Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, Norfolk NR4 7UY, UK Fax: +44 (0)1603 286 770 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

We report the first published description of transoral use of the transnasal flexible laryngoesophagoscope during surgical correction of choanal atresia.

Case report:

A four-month-old boy was referred to the ear, nose and throat department by his general practitioner with a two-week history of left-sided, watery, green, nasal discharge. A diagnosis of choanal atresia was made. The child underwent successful surgical correction which incorporated transoral use of a transnasal flexible laryngoesophagoscope.

Discussion:

When used transorally, the transnasal flexible laryngoesophagoscope's ability to provide omnidirectional visualisation together with high definition picture clarity significantly improves the operative field of view. This endoscope's incorporated suction and insufflation functions and its facility to pass extra instruments via the endoscope port are of particular advantage for this type of procedure.

Keywords

Choanal AtresiaEndoscopyInfant
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 11 , November 2012 , pp. 1179 - 1181
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Deutsch, E, Kaufman, M, Eilon, A. Transnasal endoscopic management of choanal atresia. Int J Pediatr Otorhinolaryngol 1997;40:19–26 CrossRefGoogle ScholarPubMed
2 Stankiewicz, JA. The endoscopic repair of choanal atresia. Otolaryngol Head Neck Surg 1990;103:931–7CrossRefGoogle ScholarPubMed
3 Morgan, DW, Bailey, CM. Current management of choanal atresia. Int J Pediatr Otorhinolaryngol 1990;19:1–13 Google Scholar
4 Hengerer, AS, Brickman, TM, Jeyakumar, A. Choanal atresia: embryologic analysis and evolution of treatment, a 30-year experience. Laryngoscope 2008;118:862–6CrossRefGoogle Scholar
5 Theogaraj, SD, Hoehn, JG, Hagan, KF. Practical management of congenital choanal atresia. Plast Reconstr Surg 1983;72:634–42CrossRefGoogle ScholarPubMed
6 Owens, H. Observations in treating seven cases of choanal atresia by the transpalatine approach. Laryngoscope 1951;61:304–19Google Scholar
7 Pirsig, W. Surgery of choanal atresia in infants and children: historical notes and updated review. Int J Pediatr Otorhinolaryngol 1986;11:153–70Google Scholar
8 Durmaz, A, Tosun, F, Yldrm, N, Sahan, M, Kvrakdal, C, Gerek, M. Transnasal endoscopic repair of choanal atresia: results of 13 cases and meta-analysis. J Craniofac Surg 2008;19:1270–4CrossRefGoogle ScholarPubMed
9 Benjamin, B. Evaluation of choanal atresia. Ann Otol Rhinol Laryngol 1985;94:429–32Google Scholar
10 Kamel, R. Transnasal endoscopic approach in congenital choanal atresia. Laryngoscope 1994;104:642–6CrossRefGoogle ScholarPubMed
11 Ibrahim, AA, Magdy, EA, Hassab, MH. Endoscopic choanoplasty without stenting for congenital choanal atresia repair. Int J Pediatr Otorhinolaryngol 2010;74:144–50Google Scholar
12 Teissier, N, Kaguelidou, F, Couloigner, V, Francois, M, Van Den Abbeele, T. Predictive factors for success after transnasal endoscopic treatment of choanal atresia. Arch Otolaryngol Head Neck Surg 2008;134:57–61 Google Scholar
13 Hassan, M, AboEl-Ezz, T, Youssef, T. Combined transoral-transnasal approach in the repair of congenital posterior choanal atresia: clinical experience. J Otolaryngol Head Neck Surg 2011;40:271–6Google Scholar
14 Hall, WJ, Watanabe, T, Kenan, PD, Baylin, G. Transseptal repair of unilateral choanal atresia. Arch Otolaryngol 1982;108:659–61CrossRefGoogle ScholarPubMed
15 Rudert, H. Combined transseptal-transnasal surgery of unilateral choanal atresia without using stents [in German]. Laryngorhinootologie 1999;78:697–702 Google Scholar
16 Healy, GB, McGill, T, Jako, GJ, Strong, MS, Vaughan, CW. Management of choanal atresia with the carbon dioxide laser. Ann Otol Rhinol Laryngol 1978;87:658–62CrossRefGoogle ScholarPubMed
17 D'Eredita, R, Lens, MB. Contact-diode laser repair of bony choanal atresia: a preliminary report. Int J Pediatr Otorhinolaryngol 2008;72:625–8Google Scholar
18 Pasquini, E, Sciarretta, V, Saggese, D, Cantaroni, C, Macri, G, Farneti, G. Endoscopic treatment of congenital choanal atresia. Int J Pediatr Otorhinolaryngol 2003;67:271–6CrossRefGoogle ScholarPubMed
19 Sharma, RK, Lee, CA, Gunasekaran, S, Knight, LC, Bielby, M. Stenting for bilateral congenital choanal atresia – a new technique. Int J Pediatr Otorhinolaryngol 2006;70:869–74CrossRefGoogle ScholarPubMed
20 Samadi, DS, Shah, UK, Handler, SD. Choanal atresia: a twenty-year review of medical comorbidities and surgical outcomes. Laryngoscope 2003;113:254–8CrossRefGoogle ScholarPubMed
21 Bozkurt, MK, Keles, B, Azimov, A, Ozturk, K, Arbag, H. The use of adjunctive topical mitomycin in endoscopic congenital choanal atresia repair. Int J Pediatr Otorhinolaryngol 2010;74:733–6CrossRefGoogle ScholarPubMed
22 Price, T, Jones, SE, Montgomery, PQ. Is current UK management of oesophageal food bolus obstruction evidence based? An e-mail survey and literature review. Eur Arch Otorhinolaryngol 2007;264:329–35CrossRefGoogle ScholarPubMed
23 Price, T, Sharma, A, Snelling, J, Bennett, AM, Qayyum, A, Bradnam, T et al. How we do it: the role of trans-nasal flexible laryngo-oesophagoscopy (TNFLO) in ENT: one year's experience in a head and neck orientated practice in the UK. Clin Otolaryngol 2005;30:551–6CrossRefGoogle Scholar
24 Snelling, JD, Price, T, Montgomery, PQ, Blagnys, BL. How we do it: secondary tracheoesophageal puncture under local anaesthetic, using a trans-nasal flexible laryngo-oesophagoscope (TNFLO). Logoped Phoniatr Vocol 2007;32:80–2CrossRefGoogle Scholar