TITLE:
Management of Choanal Atresia: A Quarter-Century of Experience
AUTHORS:
Ciré Ndiaye, Barry Mamadou Woury, Pilor Ndongo, Mbaye Aminata, Ahmed Houra, Thiam Ndeye Fatou, Arame Thiam, Tall Abdourahmane, Ndiaye Malick, Diom Evelyne Siga
KEYWORDS:
Choanal Imperforation, Nasal Obstruction, Neonate, Endoscopy
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.14 No.2,
March
14,
2025
ABSTRACT: Introduction: Choanal atresia is characterized by the abnormal presence of obstructive tissue preventing communication between the nasal cavity and the nasopharynx. The aim of this study was to determine the epidemiological profile of patients and to evaluate the results of treatment. Materials and methods: We conducted a retrospective descriptive study from January 1, 2000 to December 31, 2023. All patients treated for choanal atresia in the ENT department of the Fann University Hospital were included. All patients admitted to the department for respiratory distress related to choanal atresia were included in the study. Diagnosis was made on CT scan and endoscopic examination. Sociodemographic, clinical, radiological and therapeutic parameters were studied. Results: During the study period, 37 cases were identified. The mean age was 1 year, with extremes ranging from 1 day to 14 years, and 91% of patients were less than 6 months old. The sex ratio was 1. Moderate respiratory distress was the most frequent circumstance of discovery. Bone atresia was found in 45.94% of cases. The success rate varied according to the surgical technique used. Conclusion: Endoscopic treatment gives better results than blind divulsion.