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Bilateral Choanal Atresia in 24 Years Old Woman: A Case Report
Sabry Habashy Easa1, Ahmed Nabil Selim1,2, Elsayed Said Elswaby1
1Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Assiut, 71511 Egypt.
Background:
Choanal atresia is a congenital anomaly characterized by an absence of the nasal choanae due to Failure to recanalize the nasal fossae during embryogenesis. Instances involving unilateral Choanal atresia may go unidentified for extended periods. Bilateral choanal atresia presenting in adulthood is an infrequent occurrence.
Case Presentation:
A case of bilateral choanal atresia in a female 24-year-old presenting to our otolaryngology department's out clinics with long-standing nasal obstruction, mouth breathing, and anosmia. She underwent endoscopic choanoplasty to reestablish patency of the posterior choana. Follow-up after one month revealed patent posterior choana.
Conclusion:
Bilateral choanal atresia requires early surgical intervention in infants for survival. Adult presentations are rare. Nasal endoscopy and CT help determine the surgical approach. Endoscopic trans-nasal Chonaolplasty is typically the standard treatment.
