The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Endoscopic bilateral congenital choanal atresia repair of 112 cases, evolving concept and technical experience
Abstract
Objective This study aims to present 18 years' experience with endoscopic treatment of bilateral congenital choanal atresia as regard to management concept, surgical technique, results, pitfalls, and complications. Patients and methods A retrospective study including 112 cases of bilateral congenital choanal atresia, treated at Mansoura University Hospital endoscopically in the period from January 1998 to March 2015. As far as we know, this is the largest study group on transnasal endoscopic choanal atresia repair in literature. Results One hundred and twelve infants (87 females, 25 males) were included in the study. Age at operation ranged between 1 day and 28 days (8.75 days in average), and body weight average was 2.76kg. All patients were diagnosed at birth except 3 infants. In this study, 85 cases were mixed atresia, 25 cases were bony atresia, and only two cases were membranous. In all cases, obliterated choana bone and vomer bone was removed, lateral wall drilling was used in 33 cases. Follow up ranged between 6 months and 18 years (95.6 months in average). The most common complication was restenosis, occurred in 42% (47 cases). Second-look procedure was done in 68 cases. The need for second-look evaluation with stent group was 74.5% (62 out of 83 infants), whereas in non-stent group was 20.6% (6 out of 29 infants). Conclusion Endoscopic repair of bilateral choanal atresia is a safe, effective technique with minimal complication. Usage of 30 degree sinuscope permits be…
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“The endoscopic approach is replacing other approaches [257-259] in choanal atresia.”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [259]
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Cites
Choanal Atresia and Choanal Stenosis
Ramsden, J. D., Campisi, P., & Forte, V. (2009) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2009.01.001 · Cited by 162
Predictive Factors for Success After Transnasal Endoscopic Treatment of Choanal Atresia
Teissier, N., Kaguelidou, F., Couloigner, V., Francois, M., & Abbeele, T. V. D. (2008) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archoto.2007.20 · Cited by 144
To stent or not to stent? A meta‐analysis of endonasal congenital bilateral choanal atresia repair
Strychowsky, J. E., Kawai, K., Moritz, E., Rahbar, R., & Adil, E. A. (2016) · The Laryngoscope · doi:10.1002/lary.25393 · Cited by 85
Operative Management of Choanal Atresia: A 15-Year Experience
Newman, J. R., Harmon, P. J., Shirley, W. P., Hill, J., Woolley, A. L., & Wiatrak, B. J. (2013) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2013.1111 · Cited by 76
Choanal atresia: current concepts and controversies
Corrales, C. E., & Koltai, P. J. (2009) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/moo.0b013e328332a4ce · Cited by 62
Transnasal endoscopic approach in congenital choanal atresia
Kamel, R. H. (1994) · The Laryngoscope · doi:10.1002/lary.5541040521 · Cited by 49
Endoscopic Repair of Bilateral Congenital Choanal Atresia
Khafagy, Y. W. (2002) · The Laryngoscope · doi:10.1097/00005537-200202000-00021 · Cited by 46
Self-citationUnilateral choanal atresia: initial presentation and endoscopic repair
Wiatrak, B. J. (1998) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/s0165-5876(98)00119-0 · Cited by 42
The evaluation of choanal atresia by computed tomography
Brown, O. E., Smith, T., Armstrong, E. A., & Grundfast, K. M. (1986) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/s0165-5876(86)80061-1 · Cited by 40
Stentless endoscopic transnasal repair of bilateral choanal atresia starting with resection of vomer
El‐Ahl, M. A. S., & El‐Anwar, M. W. (2012) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2012.03.019 · Cited by 38
Research works printed but not linked: 1
- Shawky, 2011, Transnasal endoscopic management of congenital bilateral choanal atresia with and without stenting, PAN Arab J. Rhinol., 1, 17
Cited by
Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76
Metadata
- Authors
- Eladl, H. M., & Khafagy, Y. W.
- Affiliations
- Mansoura University (EG)
- Corresponding author
- Eladl, Hesham Mohammad
- Venue
- International Journal of Pediatric Otorhinolaryngology
- Publisher
- Elsevier BV
- Published
- 2016-06
- Volume
- 85
- Pages
- 40-45
- ISSN
- 0165-5876 (ISSN-L)
- OpenAlex
- W2297995601
- Cited by
- 41
- References
- 21
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 2 · 2021: 10 · 2020: 3 · 2019: 6 · 2018: 3 · 2017: 2 · 2016: 1
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- International Journal of Pediatric Otorhinolaryngology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Genetics (clinical) › Congenital Ear and Nasal Anomalies
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- bilateral choanal atresia, transnasal surgery, restenosis, infants, surgical complications
- MeSH terms
- Bone and Bones, Choanal Atresia, Constriction, Pathologic, Endoscopy, Female, Heart Defects, Congenital, Humans, Infant, Newborn, Male, Nasopharyngeal Diseases, Postoperative Complications, Postoperative Period, Retrospective Studies, Stents, Comorbidity, Treatment Outcome, Second-Look Surgery, Vomer, Natural Orifice Endoscopic Surgery
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- Eladl, H. M., & Khafagy, Y. W. (2016). Endoscopic bilateral congenital choanal atresia repair of 112 cases, evolving concept and technical experience. International Journal of Pediatric Otorhinolaryngology. https://doi.org/10.1016/j.ijporl.2016.03.011
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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