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November 1988

Choanal Atresia: Treatment Trends in 47 Patients Over a 33-Year Period

Author Affiliations

Hillside, NJ

Arch Otolaryngol Head Neck Surg. 1988;114(11):1229. doi:10.1001/archotol.1988.01860230023009

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At the American Laryngological Association Meeting in Palm Beach, Fla, Jonathan Ferguson, MD, and H. Bryan Neel III, MD, Rochester, Minn, presented an update on the management of choanal atresia. Treatment and outcome were compared in 11 patients treated from 1977 to 1985, compared with 36 patients treated from 1951 to 1977. The authors believe that the advent of computed tomographic scanning has aided them in diagnosis as well as evaluation of the type of surgery required. They emphasize two different deformities, ie, an "hour-glass" deformity, reflecting lateral narrowing, and a "delta" deformity, reflecting widening of the vomer. All five patients who were managed with transnasal perforation and placement of a stent required second operations, while only eight of 18 similarly treated patients from 1951 to 1977 required second procedures. All three patients managed by transpalatal repair succeeded, compared with 50% of those treated similarly from 1951 to 1977. Transseptal

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