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June 1949


Arch Otolaryngol. 1949;49(6):587-593. doi:10.1001/archotol.1949.03760120014002

A RECENT review of the surgical technics employed to treat congenital choanal atresia reveals that the maintenance of the normal function of the nasal mucous membrane is frequently disregarded in attempted corrective procedures. The surgical approaches appear to be designed primarily to remove bony obstruction and to maintain an opening. To accomplish these results many and varied surgical procedures have been reported. A new technic having the preservation of nasal function as its chief objective is suggested.

Among the earliest workers to report successful alleviation of the bony obstruction was Emmert.1 In 1851 he removed the occluding bone with a curved trocar. This method of treatment was soon followed by many others. Electrocautery, chemical cautery, drilling through the nostril, use of mallet and chisel and curettage of various sorts were all tried, with varying degrees of success. The formation of scar tissue usually resulted in late closure of the

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