Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

NEW METHOD OF OPERATION FOR CONGENITAL ATRESIA OF THE POSTERIOR NARES

NEW METHOD OF OPERATION FOR CONGENITAL ATRESIA OF THE POSTERIOR NARES Abstract Congenital atresia, or imperforation, of the posterior nares is a developmental malformation resulting in partial or complete closure of the choanae. The obstruction may be unilateral or bilateral and membranous or osseous. In my case the occlusion was complete and the partition composed of bone. Operation comprised removal of the obstructing plate and insertion of a full thickness skin graft to prevent cicatricial closure. PATHOGENESIS AND ANATOMY Several theories have been advanced to explain this anomaly, which the early writers attributed to an overgrowth of the bony structures surrounding the choanae. Luschka1 said that the obstructing plate arises from a projection upward and backward of the horizontal plate of the palatal bone, while Kundrat stated that the occlusion follows an extension inward of the vertical plate of the palatine bone. Thomasson2 expressed the opinion that the atresia is due to an extension of the plate of the vomer which becomes References 1. Luschka, H.: Ueber angeborene Atresie der Choanen , Virchows Arch. f. path. Anat. 18:168, 1860.Crossref 2. Thomasson, W. J.: Congenital Bony Occlusion of the Right Nasal Choana , Laryngoscope 25:221 ( (April) ) 1915Crossref 3. Schaeffer, J. P.: Various Types of Congenital Atresias of the Nose and Their Genetic Interpretation , Tr. Am. Laryng. A. 56:126, 1934. 4. Blair, V.: Congenital Atresia or Obstruction of the Nasal Air Passages , Ann. Otol., Rhin. & Laryng. 40:1021 ( (Dec.) ) 1931. 5. Vogel, K.: Rechtsseitige typische Choanalatresie in Verbindung mit verschiedenen angeborenen Hemmungsbildungen des Gesichts , Ztschr. f. Hals-, Nasen- u. Ohrenh. 11:121, 1925. 6. Binnerts, A.: Einseitige Choanalatresie bei einem Säugling von drei Monaten , Arch. f. Laryng. u. Rhin. 34:324, 1921 7. Otto, A. W.: A Compendium of Human and Comparative Anatomy , translated by J. F. South, London, B. Fellowes, 1831. 8. Hubbell, A. A.: Congenital Occlusion of the Posterior Nares , Buffalo M. & S. J. 26:5, 1886. 9. Fraser, J. S.: Congenital Atresia of the Choanae , Brit. M. J. 2:1698, 1910. 10. Lebensohn, J. E.: Congenital Atresia of Postnasal Orifices , Ann. Otol., Rhin. & Laryng. 32:1128 ( (Dec.) ) 1923. 11. Grove, W. E.: Choanal Atresia and Sinus Infection , Arch. Otolaryng. 6:237 ( (Sept.) ) 1927. 12. Anderson, C. M.: Congenital Occlusion of the Choana , J. A. M. A. 109:1788 ( (Nov. 27) ) 1937. 13. Richardson, C. W.: Congenital Atresia of the Post-Nasal Orifice , Lancet 2:439 ( (Aug. 15) ) 1914. 14. Stewart, J. P.: Congenital Atresia of the Posterior Nares , Arch. Otolaryng. 13:570 ( (April) ) 1932. 15. Roth, J. H., and Geiger, C. W.: Congenital Osseous Occlusion of the Posterior Choanae , Ann. Otol., Rhin. & Laryng. 35:849 ( (Sept.) ) 1926 16. von Schrötter, L.: Ueber angeborenen knöchernen Verschluss der Choanen , Monatschr. f. Ohrenh. 19:97 ( (April) ) 1885 17. Uffenorde, W.: Ein Fall von Choanalatresie mit Demonstration , Ztschr. f. Laryng., Rhin. 1:475, 1908. 18. White, L. E.: Occlusion of the Posterior Nares , Laryngoscope 28:571 ( (Aug.) ) 1918. 19. Katz, L.: Preysing, H., and Blumenfeld. F.: Handbuch der speziellen Chirurgie des Ohres und der oberen Luftwege , Würzburg, Curt Kabitzsch, 1911-1913, vol. 3, p. 432 20. Colver, B. N.: Congenital Choanal Atresia: Two Cases of Complete Bilateral Obstruction , Ann. Otol., Rhin. & Laryng. 46:358 ( (June) ) 1937. 21. Kearney, H. L.: Congenital Bony Atresia of Right Posterior Naris , Ann. Otol., Rhin. & Laryng. 45:583 ( (June) ) 1936. 22. Brady, A. J.: Atresia of the Choanae , J. Laryng., Rhin. & Otol. 33:49 ( (Feb.) ) 1918. 23. Davis, A. D.: Personal communication to the author. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

NEW METHOD OF OPERATION FOR CONGENITAL ATRESIA OF THE POSTERIOR NARES

DONNELLY, JOSEPH C.
Archives of Otolaryngology , Volume 28 (1) – Jul 1, 1938
Download PDF
14 pages

Loading next page...
 
/lp/american-medical-association/new-method-of-operation-for-congenital-atresia-of-the-posterior-nares-da34NehQYm

References (27)

Publisher
American Medical Association
Copyright
Copyright © 1938 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1938.00650040119009
Publisher site
See Article on Publisher Site

Abstract

Abstract Congenital atresia, or imperforation, of the posterior nares is a developmental malformation resulting in partial or complete closure of the choanae. The obstruction may be unilateral or bilateral and membranous or osseous. In my case the occlusion was complete and the partition composed of bone. Operation comprised removal of the obstructing plate and insertion of a full thickness skin graft to prevent cicatricial closure. PATHOGENESIS AND ANATOMY Several theories have been advanced to explain this anomaly, which the early writers attributed to an overgrowth of the bony structures surrounding the choanae. Luschka1 said that the obstructing plate arises from a projection upward and backward of the horizontal plate of the palatal bone, while Kundrat stated that the occlusion follows an extension inward of the vertical plate of the palatine bone. Thomasson2 expressed the opinion that the atresia is due to an extension of the plate of the vomer which becomes References 1. Luschka, H.: Ueber angeborene Atresie der Choanen , Virchows Arch. f. path. Anat. 18:168, 1860.Crossref 2. Thomasson, W. J.: Congenital Bony Occlusion of the Right Nasal Choana , Laryngoscope 25:221 ( (April) ) 1915Crossref 3. Schaeffer, J. P.: Various Types of Congenital Atresias of the Nose and Their Genetic Interpretation , Tr. Am. Laryng. A. 56:126, 1934. 4. Blair, V.: Congenital Atresia or Obstruction of the Nasal Air Passages , Ann. Otol., Rhin. & Laryng. 40:1021 ( (Dec.) ) 1931. 5. Vogel, K.: Rechtsseitige typische Choanalatresie in Verbindung mit verschiedenen angeborenen Hemmungsbildungen des Gesichts , Ztschr. f. Hals-, Nasen- u. Ohrenh. 11:121, 1925. 6. Binnerts, A.: Einseitige Choanalatresie bei einem Säugling von drei Monaten , Arch. f. Laryng. u. Rhin. 34:324, 1921 7. Otto, A. W.: A Compendium of Human and Comparative Anatomy , translated by J. F. South, London, B. Fellowes, 1831. 8. Hubbell, A. A.: Congenital Occlusion of the Posterior Nares , Buffalo M. & S. J. 26:5, 1886. 9. Fraser, J. S.: Congenital Atresia of the Choanae , Brit. M. J. 2:1698, 1910. 10. Lebensohn, J. E.: Congenital Atresia of Postnasal Orifices , Ann. Otol., Rhin. & Laryng. 32:1128 ( (Dec.) ) 1923. 11. Grove, W. E.: Choanal Atresia and Sinus Infection , Arch. Otolaryng. 6:237 ( (Sept.) ) 1927. 12. Anderson, C. M.: Congenital Occlusion of the Choana , J. A. M. A. 109:1788 ( (Nov. 27) ) 1937. 13. Richardson, C. W.: Congenital Atresia of the Post-Nasal Orifice , Lancet 2:439 ( (Aug. 15) ) 1914. 14. Stewart, J. P.: Congenital Atresia of the Posterior Nares , Arch. Otolaryng. 13:570 ( (April) ) 1932. 15. Roth, J. H., and Geiger, C. W.: Congenital Osseous Occlusion of the Posterior Choanae , Ann. Otol., Rhin. & Laryng. 35:849 ( (Sept.) ) 1926 16. von Schrötter, L.: Ueber angeborenen knöchernen Verschluss der Choanen , Monatschr. f. Ohrenh. 19:97 ( (April) ) 1885 17. Uffenorde, W.: Ein Fall von Choanalatresie mit Demonstration , Ztschr. f. Laryng., Rhin. 1:475, 1908. 18. White, L. E.: Occlusion of the Posterior Nares , Laryngoscope 28:571 ( (Aug.) ) 1918. 19. Katz, L.: Preysing, H., and Blumenfeld. F.: Handbuch der speziellen Chirurgie des Ohres und der oberen Luftwege , Würzburg, Curt Kabitzsch, 1911-1913, vol. 3, p. 432 20. Colver, B. N.: Congenital Choanal Atresia: Two Cases of Complete Bilateral Obstruction , Ann. Otol., Rhin. & Laryng. 46:358 ( (June) ) 1937. 21. Kearney, H. L.: Congenital Bony Atresia of Right Posterior Naris , Ann. Otol., Rhin. & Laryng. 45:583 ( (June) ) 1936. 22. Brady, A. J.: Atresia of the Choanae , J. Laryng., Rhin. & Otol. 33:49 ( (Feb.) ) 1918. 23. Davis, A. D.: Personal communication to the author.

Journal

Archives of Otolaryngology – American Medical Association

Published: Jul 1, 1938

There are no references for this article.