Comparison of two different treatment modalitieson a bilateral congenital choanal atresic case

Abstract

We report the comparisn of two different treatment modalities on a bilateral congenital choanal atresic patient. The nasal endoscopic examination of a 5-year-old girl who had nasal obstruction and bilateral rhinorrhea revealed bilateral obliterated choanas. The choanal atresia was corrected using the transnasal endoscopic approach. An endotracheal tube stent was inserted through the right
choana while no stent was used for the left side. Two years after the operation, an endoscopic examination revealed no stenosis in either side. Bilateral congenital choanal atresia is rarely among the reasons for nasal obstruction in the postneonatal period. The transnasal endoscopic approach is a safe and effective surgical technique. As there will be no differences such as tissue healing factors, comparison of stenting and non-stenting on the same patient provides us with valuable information. However a single patient is not sufficient to arrive at a decisive conclusion. Studies conducted in the future on a large number of cases will provide us with more information.

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