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Original Articles
June 1961

Surgical Management of Congenital Choanal Atresia

Arch Otolaryngol. 1961;73(6):627-634. doi:10.1001/archotol.1961.00740020641001

Congenital atresia of the posterior nares is an unusual rather than a rare developmental anomaly. For over a century papers have appeared occasionally in the literature describing cases of unilateral and bilateral choanal occlusion. The number of new cases reported during the last decade and a half has been amazing. This interest is a result of an increased awareness of the otolaryngologist, pediatrician, and obstetrician in the diagnosis of congenital choanal atresia, and a confidence on the part of the rhinologist in achieving a successful correction of the defect, using the refinements of present-day surgical techniques. However, it is evident from a survey of the literature that no unanimity of opinion has been reached relative to the correct surgical treatment of choanal atresia. A comparatively large experience, 26 cases in all, has prompted us to discuss our observations on the surgical management of this condition.

The medical aspects of choanal