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

Learn More →

Transnasal Correction of Choanal Atresia: Microsurgery in the Newborn

Transnasal Correction of Choanal Atresia: Microsurgery in the Newborn Abstract SLIGHTLY over 100 years ago the first recorded correction of choanal atresia was done by Emmert, who opened the atretic area with a curved trochar through the nose. In the ensuing century a variety of techniques and instruments have been used. These include transnasal use of electrocoagulation, carpenter's bits, hand drills, curets, rongeurs, and urethral dilators.1-4 In the early 1930's the first successful transpalatal approach was done.5 Transantral and transseptal routes were developed but were never used widely.6 Beinfield has in recent years continued to advocate the transnasal correction of choanal atresia. His latest technique in infants is to use a mastoid curet in opening the bony defect to destroy the mucous membrane on the nasal side, preserving the pharyngeal mucosa. A stellate incision is then made in the pharyngeal mucosa with the surgeon's finger in the nasopharynx as a guide. The pharyngeal membrane flaps are pulled References 1. Beinfield, H.H.: Surgery for Bilateral Bony Atresia of the Posterior Nares in the Newborn , Arch Otolaryng 70:1-7 ( (June) ) 1964.Crossref 2. Beinfield, H.H.: Surgical Management of Complete and Incomplete Bony Atresis of the Posterior Nares , Trans Amer Acad Ophth Otolaryng 60:778, 1956. 3. Craig, D.H., and Simpson, N.M.: Posterior Choanal Atresia , J Laryng Otolaryng 73:603-611, 1959.Crossref 4. Morrow, R.C.: Bilateral Congenital Choanal Atresia: A Report of Three Cases Corrected Surgically in the Newborn , Ann Otol 66:135-138 ( (March) ) 1957. 5. Owens, H.: Observations in Treating 25 Cases of Choanal Atresia by the Transpalatine Approach , Laryngoscopy 75:84-104 ( (Jan) ) 1965.Crossref 6. McGovern, F.H., and Fitz-Hugh, G.S.: Surgical Management of Congenital Choanal Atresia , Arch Otolaryng 73:627-634 ( (June) ) 1961.Crossref 7. Hanckel, R.W.: Bilateral Choanal Atresia: Report of a Case in an Infant and Review of Literature , Ann Otol 58:852-866 ( (Sept) ) 1949. 8. McGovern, F.H.: Bilateral Choanal Atresia in the Newborn: A New Method of Medical Management , Laryngoscopy 71:480-483 ( (May) ) 1961.Crossref 9. Baker, D.C., Jr.; Waltner, J.G.; and Novich, W.: Posterior Choanal Atresia , Ann Otol 69:805-809 ( (Sept) ) 1960. 10. Flake, C.G., and Ferguson, C.F.: Congenital Choanal Atresia in Infants and Children , Ann Otol 73:458-473 ( (June) ) 1964. 11. McGibben, B.C.: Congenital Atresia of the Nasal Choanae , Laryngoscope 67:731-755 ( (Aug) ) 1957. 12. Montgomery, W.W.; Connely, J.P.; Robinson, J.C.: Choanal Atresia: Part II. Surgical Management , Clin Pediat 4:71-76, 1965.Crossref 13. Poch-Vinal, R., and Calvo, R.R.: Choanal Atresia: An Embrological, Clinical and Therapeutical Study , Arch Otolaryng 63:559-575 ( (June) ) 1956.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Transnasal Correction of Choanal Atresia: Microsurgery in the Newborn

Loading next page...
 
/lp/american-medical-association/transnasal-correction-of-choanal-atresia-microsurgery-in-the-newborn-trfw6mG2rj
Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1966.00760020609025
Publisher site
See Article on Publisher Site

Abstract

Abstract SLIGHTLY over 100 years ago the first recorded correction of choanal atresia was done by Emmert, who opened the atretic area with a curved trochar through the nose. In the ensuing century a variety of techniques and instruments have been used. These include transnasal use of electrocoagulation, carpenter's bits, hand drills, curets, rongeurs, and urethral dilators.1-4 In the early 1930's the first successful transpalatal approach was done.5 Transantral and transseptal routes were developed but were never used widely.6 Beinfield has in recent years continued to advocate the transnasal correction of choanal atresia. His latest technique in infants is to use a mastoid curet in opening the bony defect to destroy the mucous membrane on the nasal side, preserving the pharyngeal mucosa. A stellate incision is then made in the pharyngeal mucosa with the surgeon's finger in the nasopharynx as a guide. The pharyngeal membrane flaps are pulled References 1. Beinfield, H.H.: Surgery for Bilateral Bony Atresia of the Posterior Nares in the Newborn , Arch Otolaryng 70:1-7 ( (June) ) 1964.Crossref 2. Beinfield, H.H.: Surgical Management of Complete and Incomplete Bony Atresis of the Posterior Nares , Trans Amer Acad Ophth Otolaryng 60:778, 1956. 3. Craig, D.H., and Simpson, N.M.: Posterior Choanal Atresia , J Laryng Otolaryng 73:603-611, 1959.Crossref 4. Morrow, R.C.: Bilateral Congenital Choanal Atresia: A Report of Three Cases Corrected Surgically in the Newborn , Ann Otol 66:135-138 ( (March) ) 1957. 5. Owens, H.: Observations in Treating 25 Cases of Choanal Atresia by the Transpalatine Approach , Laryngoscopy 75:84-104 ( (Jan) ) 1965.Crossref 6. McGovern, F.H., and Fitz-Hugh, G.S.: Surgical Management of Congenital Choanal Atresia , Arch Otolaryng 73:627-634 ( (June) ) 1961.Crossref 7. Hanckel, R.W.: Bilateral Choanal Atresia: Report of a Case in an Infant and Review of Literature , Ann Otol 58:852-866 ( (Sept) ) 1949. 8. McGovern, F.H.: Bilateral Choanal Atresia in the Newborn: A New Method of Medical Management , Laryngoscopy 71:480-483 ( (May) ) 1961.Crossref 9. Baker, D.C., Jr.; Waltner, J.G.; and Novich, W.: Posterior Choanal Atresia , Ann Otol 69:805-809 ( (Sept) ) 1960. 10. Flake, C.G., and Ferguson, C.F.: Congenital Choanal Atresia in Infants and Children , Ann Otol 73:458-473 ( (June) ) 1964. 11. McGibben, B.C.: Congenital Atresia of the Nasal Choanae , Laryngoscope 67:731-755 ( (Aug) ) 1957. 12. Montgomery, W.W.; Connely, J.P.; Robinson, J.C.: Choanal Atresia: Part II. Surgical Management , Clin Pediat 4:71-76, 1965.Crossref 13. Poch-Vinal, R., and Calvo, R.R.: Choanal Atresia: An Embrological, Clinical and Therapeutical Study , Arch Otolaryng 63:559-575 ( (June) ) 1956.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jun 1, 1966

References