Treatment of Bilateral Choanal Atresia in the Neonate

Chung, Seung Kyu; Min, Jin Young

Review

Journal of Rhinology 2009;16(2):81-86.
Published online November 30, 2009.

Treatment of Bilateral Choanal Atresia in the Neonate

Department of Otorhinolaryngology Head and Neck Surgery, Sungkyunkwan University School of Medicine Samsung Medical Center, Seoul, Korea. rhinochung@skku.edu

신생아 양측 후비공 폐쇄의 치료

정승규, 민진영

성균관대학교 의과대학 삼성서울병원 이비인후과학교실

Abstract

Bilateral choanal atresia in the neonate should be corrected surgically as soon as possible after maintaining the airway with Mc-Govern nipple. The treatment of choice is the transnasal endoscopic removal of the atretic plate including posterior inferiorpart of the bony nasal septum using microdebrider and drill. Although many authors propose not using postoperative stent, thismight not be applied to the neonatal bilateral cases. A description of the practical stenting technigue will be provided.

Key Words: Infant;Newborm;Choanal atresia/surgeny;Stents