Management of congenital choanal atresia (CCA) after multiple failures: A Case Report

Author: Asma binti Abdullah ; Roslenda Binti Abdul Rahman ; Suraya Binti Aziz ; Saraiza Binti Abu Bakar ; Aini Binti AbAziz
Publication Type:Case Reports
Keywords: Choanal atresia; stenosis; laser; computed tomography
From: The Medical Journal of Malaysia 2013;68(1):76-78
CountryMalaysia
Language:English
Abstract: Nasal obstruction in neonates is a potentially fatal condition because neonates are obligatory nasal breathers. Bilateral choanal atresia is therefore a neonatal emergency. Several approaches for corrections of choanal atresia are available including the helium laser: YAG. A 5-year-old Chinese girl born with bilateral choanal atresia, had birth asphyxia that required intubation. She underwent multiple surgeries for correction of choanal atresia at other hospitals but failed to improve. She was referred to Universiti Kebangsaan Malaysia Medical Center (UKMMC) after presenting with intermittent respiratory distress and cyanosis following an upper respiratory tract infection. A repeat computed tomography (CT) scan done preoperatively showed complete bony stenosis over the left choana and finding was confirmed by examination under general anesthesia. She underwent endoscopic transnasal removal of left bony atretic plate. There was no intra or postoperative complications. During follow up 10 years later, the airway on both sides remains patent.