Symptome und Therapie der Choanalatresie--Stents weiterhin umstritten
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Symptome und Therapie der Choanalatresie--Stents weiterhin umstritten. / Havel, M; Nicolai, T; Betz, C S; Berghaus, A; Leunig, A.
In: KLIN PADIATR, Vol. 222, No. 7, 12.2010, p. 430-6.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Symptome und Therapie der Choanalatresie--Stents weiterhin umstritten
AU - Havel, M
AU - Nicolai, T
AU - Betz, C S
AU - Berghaus, A
AU - Leunig, A
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2010/12
Y1 - 2010/12
N2 - Congenital choanal atresia is a rare malformation of the upper airways occurring sole or within the scope of syndromes. The controversy regarding standardized surgical approach and optimal technique preventing re-stenosis as well as the proceeding in case of a unilateral malformation persists. To address these issues, a retrospective analysis of patients presenting with choanal atresia in our department within the last 10 years was performed. 15 infants aged 3 days to 13 years (mean 42 months) who presented with unilateral (10 cases) and bilateral (5 cases) choanal atresia underwent surgical repair. 4 patients failed previous surgeries. All interventions were performed in transnasal endoscopic technique. 7 patients were intraoperatively stented for 6 weeks, 4 patients for 1 week. In 73% (11 out of 15 children) further congenital anomalies were identified. In 7 cases a re-stenosis requiring treatment occurred, predominantly in long-term stented patients. No intra- or postoperative hemorrhages or infections occurred. To provide an adequate work-up of affected patient including a screening for further congenital anomalies, a multidisciplinary approach is required. Endonasal endoscopic approach represents a safe technique for surgical repair of choanal atresia. The indication for surgical repair in case of a unilateral atresia is based on the severity of clinical symptoms. The use of stents, especially of long term, remains controversial and needs further evaluation.
AB - Congenital choanal atresia is a rare malformation of the upper airways occurring sole or within the scope of syndromes. The controversy regarding standardized surgical approach and optimal technique preventing re-stenosis as well as the proceeding in case of a unilateral malformation persists. To address these issues, a retrospective analysis of patients presenting with choanal atresia in our department within the last 10 years was performed. 15 infants aged 3 days to 13 years (mean 42 months) who presented with unilateral (10 cases) and bilateral (5 cases) choanal atresia underwent surgical repair. 4 patients failed previous surgeries. All interventions were performed in transnasal endoscopic technique. 7 patients were intraoperatively stented for 6 weeks, 4 patients for 1 week. In 73% (11 out of 15 children) further congenital anomalies were identified. In 7 cases a re-stenosis requiring treatment occurred, predominantly in long-term stented patients. No intra- or postoperative hemorrhages or infections occurred. To provide an adequate work-up of affected patient including a screening for further congenital anomalies, a multidisciplinary approach is required. Endonasal endoscopic approach represents a safe technique for surgical repair of choanal atresia. The indication for surgical repair in case of a unilateral atresia is based on the severity of clinical symptoms. The use of stents, especially of long term, remains controversial and needs further evaluation.
KW - Adolescent
KW - CHARGE Syndrome
KW - Child
KW - Child, Preschool
KW - Choanal Atresia
KW - Cooperative Behavior
KW - Craniofacial Abnormalities
KW - Endoscopy
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Interdisciplinary Communication
KW - Magnetic Resonance Imaging
KW - Male
KW - Patient Care Team
KW - Postoperative Care
KW - Postoperative Complications
KW - Stents
KW - Surgery, Computer-Assisted
KW - Tomography, X-Ray Computed
KW - English Abstract
KW - Journal Article
U2 - 10.1055/s-0030-1262781
DO - 10.1055/s-0030-1262781
M3 - SCORING: Zeitschriftenaufsatz
C2 - 20862629
VL - 222
SP - 430
EP - 436
JO - KLIN PADIATR
JF - KLIN PADIATR
SN - 0300-8630
IS - 7
ER -