PMID- 28045821
OWN - NLM
STAT- MEDLINE
DCOM- 20180129
LR  - 20191210
IS  - 1536-3732 (Electronic)
IS  - 1049-2275 (Linking)
VI  - 28
IP  - 2
DP  - 2017 Mar
TI  - Treatment of Congenital Choanal Atresia via Transnasal Endoscopic Method.
PG  - 338-342
LID - 10.1097/SCS.0000000000003247 [doi]
AB  - OBJECTIVES: Congenital choanal atresia (CCA) is a very rare abnormality of the 
      nose, but in the case of bilateral presence, it becomes a life-threatening 
      malformation. Various surgical treatment options, such as transpalatal, 
      transseptal, and open rhinoplasty techniques, as well as the transnasal approach, 
      have been defined for the repair of CCA. In this study, the authors intended to 
      evaluate the outcomes of transnasal endoscopic surgery for CCA, and stent 
      implementation's impact on surgical success. METHODS: Patients who were admitted 
      to the Otorhinolaryngology Department of Gaziantep University and patients who 
      had not undergone CCA surgery before were included in the study. Patients who 
      underwent transnasal endoscopic choanal atresia surgery (TECAS) were advised to 
      have regular nasal endoscopic examinations performed at check-ups; after a 
      6-month follow-up period, surgical results were evaluated concerning whether 
      stenosis had occurred or not. RESULTS: Of the 48 patients who underwent TECAS 
      after a minimum 6-month follow-up period, 34 of patients revealed no stenosis, so 
      the overall surgical success rate was 70.8%. Fourteen (29.2%) patients who 
      underwent TECAS developed stenosis and required revision surgery. CONCLUSIONS: 
      Transnasal endoscopic choanal atresia surgery is the most preferred approach for 
      CCA repair and has many advantages, such as excellent vision, shorter operative 
      time, minimal bleeding, and minimum complication. Despite advances in endovision 
      systems and surgical instruments, stenosis is the most challenging problem after 
      TECAS, so new treatment strategies should be developed to prevent stenosis.
FAU - Gulsen, Secaattin
AU  - Gulsen S
AD  - *Department of Otolaryngology, Ersin Aslan Government Hospital, Gaziantep 
      daggerDepartment of Otolaryngology, Medical Faculty, Inonu University, Malatya 
      double daggerDepartment of Otolaryngology, Medical Faculty, Gaziantep University  section signDepartment 
      of Otolaryngology, Hatem Private Hospital, Gaziantep, Turkey.
FAU - Baysal, Elif
AU  - Baysal E
FAU - Celenk, Fatih
AU  - Celenk F
FAU - Aytac, Ismail
AU  - Aytac I
FAU - Durucu, Cengiz
AU  - Durucu C
FAU - Kanlikama, Muzaffer
AU  - Kanlikama M
FAU - Mumbuc, Semih
AU  - Mumbuc S
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Craniofac Surg
JT  - The Journal of craniofacial surgery
JID - 9010410
MH  - *Choanal Atresia/diagnosis/surgery
MH  - Female
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Infant
MH  - Male
MH  - *Nasal Cavity/abnormalities/surgery
MH  - *Nasal Obstruction/etiology/surgery
MH  - *Natural Orifice Endoscopic Surgery/adverse effects/methods/statistics & 
      numerical data
MH  - Outcome and Process Assessment, Health Care
MH  - Postoperative Complications/*surgery
MH  - *Prosthesis Implantation/adverse effects/instrumentation/methods
MH  - Reoperation/methods/statistics & numerical data
MH  - *Stents
MH  - Turkey
EDAT- 2017/01/04 06:00
MHDA- 2018/01/30 06:00
CRDT- 2017/01/04 06:00
PHST- 2017/01/04 06:00 [pubmed]
PHST- 2018/01/30 06:00 [medline]
PHST- 2017/01/04 06:00 [entrez]
AID - 10.1097/SCS.0000000000003247 [doi]
PST - ppublish
SO  - J Craniofac Surg. 2017 Mar;28(2):338-342. doi: 10.1097/SCS.0000000000003247.