Pediatric Airway Surgery

Editor(s): Hartnick C.J. (Boston, Mass.) 
Hansen M.C. (Boston, Mass.) 
Gallagher T.Q. (Portsmouth, Va.) 
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Endoscopic Choanal Atresia Repair

Gallagher T.Q.a · Hartnick C.J.b
aLCDR, MC, USN, Department of Otolaryngology, Naval Medical Center Portsmouth, Portsmouth, Va., and bDepartment of Otology and Laryngology, Massachusetts Eye & Ear Infirmary, Boston, Mass., USA Hartnick CJ, Hansen MC, Gallagher TQ (eds): Pediatric Airway Surgery. Adv Otorhinolaryngol. Basel, Karger, 2012, vol 73, pp 127–131 (DOI:10.1159/000334467)


Congenital choanal atresia (CA) is relatively rare, with an incidence of 1 in 7,000 births with a majority being the mixed bony-membranous type. There are 5 described methods of CA repair: transpalatal, transnasal, sublabialtransnasal, transantral, and transseptal approaches. Transpalatal and transnasal have been the most popular in the last several decades with transnasal becoming the preferred technique with the advent of endoscopic instruments and techniques. In this chapter, the authors seek to describe their techniques for endoscopic transnasal repair of CA including surgical pearls for success.


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