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Congenital Choanal Atresia: Anatomic, Physiological, and Therapeutic Aspects, Especially the Endonasal Approach Under Endoscopic Vision

Congenital Choanal Atresia: Anatomic, Physiological, and Therapeutic Aspects, Especially the... Abstract • In four cases of congenital bilateral choanal atresia, endonasal perforation using a modified surgical technique was employed with satisfactory results. In each patient, a polyethylene tube was inserted into the nasal cavity and left in place for varying lengths of time; a period of three months is recommended. This calls attention to a lenient, safe, and relatively easy operative technique that can be applied as soon as the anomaly is detected. By this technique, sufficient nasal respiration, which is of vital importance to the newborn, can be established. (Arch Otolaryngol 104:72-78, 1978) References 1. Abrahamson H: Resuscitation of the Newborn Infant , ed 2. St Louis, CV Mosby Co Publishers, 1970, p 264. 2. Cooke RE: The Biologic Basis of Pediatric Practice . New York, McGraw-Hill Book Co Inc, 1968, vol I, p 837. 3. Negus V: Comparative Anatomy and Physiology of the Nose and Paranasal Sinuses . Edinburgh-London, E & S Livingstone Ltd, 1958. 4. Hinderer KH: Fundamentals of Anatomy and Surgery of the Nose . Birmingham, Ala, Aesculapius Publishing Co, 1970. 5. Polgar G, Kong GP: The nasal resistance in newborn infants . J Pediatr 67:557-567, 1965.Crossref 6. Sjövall K: The use of an oral airway in the treatment of respiratory distress of infants . Acta Paediatr 52:153-158, 1963.Crossref 7. Ogura JH, Nelson JR, Dammkoehler R, et al: Experimental observations of the relationship between upper airway obstructions and pulmonary function . Ann Otol Rhinol Laryngol 73:381-403, 1964. 8. Hough JVD: The mechanism of asphyxia in choanal atresia: The technic of its surgical correction in the newborn . South Med J 48:588-594, 1955.Crossref 9. Escat E: Bilateral atresia . J Laryngol Otol 11:297-298, 1896. 10. Emmert C: Lehrbuch der Chirurgie . Stuttgart, F. V. R. Dann, 1853, vol II p 535. 11. Beinfield HH: Surgery for bilateral bony atresia of the posterior nares in the newborn . Arch Otolaryngol 70:1-7, 1959.Crossref 12. Salkeld CR: A case of choanal atresia treated with Asherson's tubes . J Laryngol Otol 82:927-930, 1968.Crossref 13. Fearon B, Dickson J: Bilateral choanal atresia in the newborn: Plan of action . Laryngoscope 78:1487-1499, 1968.Crossref 14. Weseman CM: Management of choanal atresia in the newborn . Laryngoscope 83:1160-1166, 1973.Crossref 15. McGovern FH: Bilateral choanal atresia in the newborn: A new method of medical management . Laryngoscope 67:480-483, 1961.Crossref 16. Hanckel RW, Walker Bates G: Bilateral choanal atresia . South Med J 50:1054-1056, 1957.Crossref 17. Hogeman KE, Toremalm NG: The management of bilateral choanal atresia . J Otol Laryngol 82:913-920, 1968.Crossref 18. Stoksted P, Greisen O, House L: A survey of the diagnosis and treatment of congenital choanal atresia . Int Rhinol 10:3-9, 1972. 19. Beinfield HH: Treatment of complete unilateral bony atresia of the posterior nares: A new technique and a brief reference to asphyxia neonatorum . Arch Otolaryngol 53:530-539, 1951.Crossref 20. Blegvad NR: Choanal atresia . Acta Otolaryngol (suppl 116) , 1954, pp 46-49. 21. Uffenorde W: Bilateral atresia . Z Laryngol Rhinol 1:475-477, 1908. 22. Owens H: Observations in treating seven cases of choanal atresia by the transpalatine approach . Laryngoscope 61:304-319, 1951.Crossref 23. Owens H: Observations in treating 25 cases of choanal atresia by the transpalatine approach . Laryngoscope 75:84-104, 1965.Crossref 24. Greisen O, House L, Stoksted P: Correction of choanal atresia: Report of six cases treated by a modified transeptal method . Int Rhinol 10:21-27, 1972. 25. Ruddy LW: A transpalatine operation for congenital atresia of the choanae in the small child or the infant . Arch Otolaryngol 41:432-438, 1945.Crossref 26. Wilson CP: Treatment of choanal atresia . J Laryngol Otol 71:616-625, 1957.Crossref 27. Dennecke HJ, Meyer R: Plastic Surgery of Head and Neck . Berlin-Heidelberg-New York, Springer-Verlag, vol I, 1967. 28. Dolowitz DA, Holley EB: Choanal atresia: A new transpalatine technique . Arch Otolaryngol 49:587-592, 1949.Crossref 29. Hobolth N, Buchmann G, Sandberg LE: Congenital choanal atresia . Acta Paediatr Scand 56:286-294, 1967.Crossref 30. Flake CG, Furguson CF: Congenital choanal atresia in infants and children . Ann Otol Rhinol Laryngol 73:458-473, 1964. 31. Johnson S: Congenital choanal atresia . Acta Otolaryngol 51:533-540, 1960.Crossref 32. White LE: An operation for bony occlusion of the posterior nares . Laryngoscope 28:571-583, 1918.Crossref 33. Von Schmidt B, cited by Weseman CM: Management of choanal atresia in the newborn . Laryngoscope 83:1160-1166, 1973.Crossref 34. Cohen HJ, Witchell IS: Bilateral congenital choanal atresia in the newborn . Am J Dis Child 83:328, 1952. 35. Jay P: Bilateral congenital choanal atresia in the newborn . Med J Aust 1:151-152, 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Congenital Choanal Atresia: Anatomic, Physiological, and Therapeutic Aspects, Especially the Endonasal Approach Under Endoscopic Vision

Archives of Otolaryngology , Volume 104 (2) – Feb 1, 1978

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1978.00790020014004
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Abstract

Abstract • In four cases of congenital bilateral choanal atresia, endonasal perforation using a modified surgical technique was employed with satisfactory results. In each patient, a polyethylene tube was inserted into the nasal cavity and left in place for varying lengths of time; a period of three months is recommended. This calls attention to a lenient, safe, and relatively easy operative technique that can be applied as soon as the anomaly is detected. By this technique, sufficient nasal respiration, which is of vital importance to the newborn, can be established. (Arch Otolaryngol 104:72-78, 1978) References 1. Abrahamson H: Resuscitation of the Newborn Infant , ed 2. St Louis, CV Mosby Co Publishers, 1970, p 264. 2. Cooke RE: The Biologic Basis of Pediatric Practice . New York, McGraw-Hill Book Co Inc, 1968, vol I, p 837. 3. Negus V: Comparative Anatomy and Physiology of the Nose and Paranasal Sinuses . Edinburgh-London, E & S Livingstone Ltd, 1958. 4. Hinderer KH: Fundamentals of Anatomy and Surgery of the Nose . Birmingham, Ala, Aesculapius Publishing Co, 1970. 5. Polgar G, Kong GP: The nasal resistance in newborn infants . J Pediatr 67:557-567, 1965.Crossref 6. Sjövall K: The use of an oral airway in the treatment of respiratory distress of infants . Acta Paediatr 52:153-158, 1963.Crossref 7. Ogura JH, Nelson JR, Dammkoehler R, et al: Experimental observations of the relationship between upper airway obstructions and pulmonary function . Ann Otol Rhinol Laryngol 73:381-403, 1964. 8. Hough JVD: The mechanism of asphyxia in choanal atresia: The technic of its surgical correction in the newborn . South Med J 48:588-594, 1955.Crossref 9. Escat E: Bilateral atresia . J Laryngol Otol 11:297-298, 1896. 10. Emmert C: Lehrbuch der Chirurgie . Stuttgart, F. V. R. Dann, 1853, vol II p 535. 11. Beinfield HH: Surgery for bilateral bony atresia of the posterior nares in the newborn . Arch Otolaryngol 70:1-7, 1959.Crossref 12. Salkeld CR: A case of choanal atresia treated with Asherson's tubes . J Laryngol Otol 82:927-930, 1968.Crossref 13. Fearon B, Dickson J: Bilateral choanal atresia in the newborn: Plan of action . Laryngoscope 78:1487-1499, 1968.Crossref 14. Weseman CM: Management of choanal atresia in the newborn . Laryngoscope 83:1160-1166, 1973.Crossref 15. McGovern FH: Bilateral choanal atresia in the newborn: A new method of medical management . Laryngoscope 67:480-483, 1961.Crossref 16. Hanckel RW, Walker Bates G: Bilateral choanal atresia . South Med J 50:1054-1056, 1957.Crossref 17. Hogeman KE, Toremalm NG: The management of bilateral choanal atresia . J Otol Laryngol 82:913-920, 1968.Crossref 18. Stoksted P, Greisen O, House L: A survey of the diagnosis and treatment of congenital choanal atresia . Int Rhinol 10:3-9, 1972. 19. Beinfield HH: Treatment of complete unilateral bony atresia of the posterior nares: A new technique and a brief reference to asphyxia neonatorum . Arch Otolaryngol 53:530-539, 1951.Crossref 20. Blegvad NR: Choanal atresia . Acta Otolaryngol (suppl 116) , 1954, pp 46-49. 21. Uffenorde W: Bilateral atresia . Z Laryngol Rhinol 1:475-477, 1908. 22. Owens H: Observations in treating seven cases of choanal atresia by the transpalatine approach . Laryngoscope 61:304-319, 1951.Crossref 23. Owens H: Observations in treating 25 cases of choanal atresia by the transpalatine approach . Laryngoscope 75:84-104, 1965.Crossref 24. Greisen O, House L, Stoksted P: Correction of choanal atresia: Report of six cases treated by a modified transeptal method . Int Rhinol 10:21-27, 1972. 25. Ruddy LW: A transpalatine operation for congenital atresia of the choanae in the small child or the infant . Arch Otolaryngol 41:432-438, 1945.Crossref 26. Wilson CP: Treatment of choanal atresia . J Laryngol Otol 71:616-625, 1957.Crossref 27. Dennecke HJ, Meyer R: Plastic Surgery of Head and Neck . Berlin-Heidelberg-New York, Springer-Verlag, vol I, 1967. 28. Dolowitz DA, Holley EB: Choanal atresia: A new transpalatine technique . Arch Otolaryngol 49:587-592, 1949.Crossref 29. Hobolth N, Buchmann G, Sandberg LE: Congenital choanal atresia . Acta Paediatr Scand 56:286-294, 1967.Crossref 30. Flake CG, Furguson CF: Congenital choanal atresia in infants and children . Ann Otol Rhinol Laryngol 73:458-473, 1964. 31. Johnson S: Congenital choanal atresia . Acta Otolaryngol 51:533-540, 1960.Crossref 32. White LE: An operation for bony occlusion of the posterior nares . Laryngoscope 28:571-583, 1918.Crossref 33. Von Schmidt B, cited by Weseman CM: Management of choanal atresia in the newborn . Laryngoscope 83:1160-1166, 1973.Crossref 34. Cohen HJ, Witchell IS: Bilateral congenital choanal atresia in the newborn . Am J Dis Child 83:328, 1952. 35. Jay P: Bilateral congenital choanal atresia in the newborn . Med J Aust 1:151-152, 1959.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Feb 1, 1978

References