Management of congenital choanal atresia (CCA) after multiple failures

A case report

Asma Abdullah, Abdul Rahman Roslenda, Suraya Aziz, Saraiza Binti Abu Bakar, Aini Binti AbAziz

Research output: Contribution to journalArticle

3 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)76-78
Number of pages3
JournalMedical Journal of Malaysia
Volume68
Issue number1
Publication statusPublished - 1 Feb 2013

Fingerprint

Choanal Atresia
Newborn Infant
Nasal Obstruction
Cyanosis
Nasopharynx
Gas Lasers
Asphyxia
Malaysia
Nose
Intubation
Respiratory Tract Infections
General Anesthesia
Pathologic Constriction
Emergencies
Tomography
Parturition

Keywords

  • Choanal atresia
  • Computed tomography
  • Laser
  • Stenosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Management of congenital choanal atresia (CCA) after multiple failures : A case report. / Abdullah, Asma; Roslenda, Abdul Rahman; Aziz, Suraya; Bakar, Saraiza Binti Abu; AbAziz, Aini Binti.

In: Medical Journal of Malaysia, Vol. 68, No. 1, 01.02.2013, p. 76-78.

Research output: Contribution to journalArticle

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