Management of choanal atresia and personal experience: a retrospective review

Management of choanal atresia and personal experience: a retrospective review. Objective: To evaluate the outcomes of the transnasal repair of choanal atresia with stenting. Patients and methods: A retrospective chart review was performed on all patients with choanal atresia from 1994 to 2006. Records were then analysed with respect to age at time of surgery, sex, type of atresia, complications, stenting time and follow-up time. Results: Eighteen children aged between 1 day and 22 months old with choanal atresia were evaluated and treated. Ten patients had bilateral (55.6%) and 8 unilateral (44.4%) disease. There were 11 females (61.1%) and 7 males (38.9%). All the patients underwent transnasal repair. There were no intra-operative and postoperative complications. Only one patient required a revision procedure. Conclusion: Despite the advances in endoscopic technology, the puncture, dilation and stenting technique is still the senior author’s preferred method of repair for choanal atresia.