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Bilateral congenital choanal atresia at age 16: an interesting case
S Candan1, S Mizrak, M Karagöz
1ENT Department, Karadeniz Technical University Medical Faculty, Trabzon, Turkey.
Insights
A rare case of bilateral congenital choanal atresia was diagnosed late in a 16-year-old patient who compensated with mouth breathing. Successful treatment was achieved using a transpalatal approach, highlighting a unique diagnostic and management scenario.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Congenital Abnormalities
Background:
- Bilateral congenital posterior choanal atresia typically presents as neonatal respiratory distress.
- Delayed diagnosis can occur in cases with compensatory mechanisms like mouth breathing.
- This condition involves a blockage of the nasal passage into the throat.
Abstract:
A bilateral congenital posterior choanal atresia case diagnosed at the age of 16 is presented. Although bilateral congenital choanal atresia causes acute life-threatening respiratory obstruction in newborns, this case was able to compensate by rapidly learning mouth breathing and the diagnosis did escape detection for years. The patient was treated successfully via transpalatal approach.