Abstract
A term neonate developed respiratory distress, paradoxical cyanosis (relieved by crying) soon after birth. Inability to insert No.5 French infant feeding tube through the nose into the pharynx led to the diagnosis of Bilateral Choanal Atresia , which was confirmed by HRCT Scan of the nose. Insertion of an oropharyngeal tube reduced the respiratory distress. Extensive investigations did not reveal any other congenital anomaly. The baby was treated with Transnasal Surgery. DOI: http://dx.doi.org/10.3329/bjms.v13i1.14454 Bangladesh Journal of Medical Science Vol. 13 No. 01 January2014: 91-94
Highlights
Choanal atresia is a rare life threatening disorder in neonates, but it is the most common indication of surgical intervention of the nose in neonates[2]
The theory of misdirection of neural crest migration and subsequent mesodermal flow is thought to offer the strongest evidence behind the development of choanal atresia[4]
Presence of intermittent cyanosis- aggravating during sleep and resoluting during crying, prompted us to exclude the possibility of choanal atresia
Summary
Choanal atresia is a rare life threatening disorder in neonates, (incidence 1 in 7000 live births1), but it is the most common indication of surgical intervention of the nose in neonates[2]. Introduction: Choanal atresia is a rare life threatening disorder in neonates, (incidence 1 in 7000 live births1), but it is the most common indication of surgical intervention of the nose in neonates[2]. Neonates with bilateral (B/L) choanal atresia will most often not attempt to breathe through the mouthresulting in asphyxia[6]. The diagnosis and management of this rare emergency in a symptomatic neonate with bilateral choanal atresia requiring transnasal repair at a very early postnatal age is presented.
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