Cover

Pediatric Airway Surgery

Editor(s): Hartnick C.J. (Boston, Mass.) 
Hansen M.C. (Boston, Mass.) 
Gallagher T.Q. (Portsmouth, Va.) 
Table of Contents
Vol. 73, 2012
Section title: Miscellaneous

Endoscopic Choanal Atresia Repair

Gallagher T.Q. · Hartnick C.J.
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Abstract

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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References

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  2. Brown OE, Pownell P, Manning SC: Choanal atresia: a new anatomic classification and clinical management applications. Laryngoscope 1996;106:97-101
  3. Burrow AT, Saal HM, de Alarcon A, Martin LJ, Cotton RT, et al: Characterization of congenital anomalies in individuals with choanal atresia. Arch Otolaryngol Head Neck Surg 2009;135:543-547
  4. Barbero P, Valdez R, Rodriguez, et al: Choanal atresia associated with maternal hyperthyroidism treated with methimazole: a case-control study. Am J Med Genet A 2008;146A:2390-2395
  5. Clementi M, Gianantonio E, Cassina M, Leoncini E, et al: Treatment of hyperthyroidism in pregnancy and birth defects. J Clin Endocrinol Metab 2010;95:E337-E341
  6. Asher BF, McGill TJ, Kaplan L, Friedman EM, Healy GB: Airway complications in CHARGE association. Arch Otolaryngol Head Neck Surg 1990;116:594-595


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