Endoscopic Choanal Atresia Repair with Posterior Septectomy and Widening Toward Pterygoid Plate to Create a Wide Single Neochoana, Case Series

Abstract

Objective: This study focuses on surgical technique, assessment of the outcomes and the recurrence rate of the disease. Patients and methods: This retrospective study was done on 18 patients with congenital choanal atresia at Azal specialized hospital and Al Kuwait University hospital, Sana’a, Yemen between 2014 and 2022. All patients underwent endoscopic repair with posterior septectomy, removal of atretic plate, lateral widening toward the pterygoid plate and creation of wide single neochoana with nasal stenting. Results: Of 18 cases, 2 cases were excluded because of short period of follow up. Of the 16 remaining cases, 13 cases (81.25%) showed good results during the period of follow up (6 months to 9 years) from the initial surgery. Restenosis occurred in 3 (18.75%) bilateral choanal atresia cases which underwent revision surgery with good results. Conclusion: Endoscopic creation of wide single neochoana with stenting followed by close follow up and family education give good success rate.