Choanal Atresia Repair without the Need for Stenting or Drilling: A Technical Modification
Journal Title: International Journal of Otorhinolaryngology - Year 2016, Vol 3, Issue 1
Abstract
We would like to present our modified technique to repair choanal atresia without the need for drilling or postoperative stenting. Traditional repairs utilise postoperative stents for a variable period [1,2]. Stent-less repairs have been mostly transnasal requiring the raising of mucosal flaps and lateral drilling leading to circumferential scarring [3,4]. Our technique is performed under general anesthesia with oral intubation. The nose is decongested with 0.05% xylometazoline hydrochloride solution. Examination is performed with a 2.1 mmrigid endoscope. After insertion of an oral gag, a suture is used to retract the soft palate forwards. The atretic choanae are visualizedwith a 120° rigid endoscope transorally figure 1a. Urethral sounds (5F to 21F) are used to dilate the membranous portion of the choanae transnasally and can be seen transorally figure 1b. A small part of the posterior vomer is removed using paediatric back-biters figure 1c and redundant mucosa covers the exposed bone of the posterior septum.
Authors and Affiliations
Hiro Ishii
Keywords
Related Articles
- EP ID EP205637
- DOI 10.13188/2380-0569.1000014
- Views 130
- Downloads 0
Etiology and ClinicalPresentation of Laryngeal Cancer in Sudanese Patients
Background: Laryngeal cancer is a common disease among Sudanese smokers. It is a type of neoplasm that has the largest male to female ratio in Sudan. Objective: To provide a review of the clinical pattern and to determin...
The Direction of Pediatric Sedation: A Contemporary and Historical Look at its Science, Art, Strengths and Shortcomings
This manuscript takes a critical look at the contemporary state and direction of sedation for the pediatric dental patient from the viewpoint of an academician, researcher, and clinician with over thirty five years exper...
Assessment and Treatment of Spontaneous Temporal Bone Meningoencephalocele for Hearing Gain
Meningoencephaloceles in the temporal bone originate from defects in the bony floor of the lateral skull base, i.e., in the upper surface of the temporal bone, and can lead to Cerebrospinal Fluid (CSF) leaks or meningiti...
Transoral Robotic Supraglottic Laryngectomy in Laryngeal Squamous Cell Carcinoma
The most common histological type of laryngeal cancer is squamous cell carcinoma, and the supraglottic and glottic regions are the most common sites of this type. Supraglottic laryngectomy is the most common treatment in...
Rhodiola Sacra Enhances Recovery from Sudden Deafness
Objectives: Ischemia and hypoxia are the important pathological mechanisms of Sudden Deafness (SD). Reactive Oxygen Species (ROS) are the important mediators of tissue injury during cochlear ischemia and reperfusion. Rho...