Section: 
Rhinology issues
Rhinology issuesStentless choanoplasty technique in infants: our experience
A. O. Gorina (1), M. M. Polunin (2), A. I. Asmanov (3), O. A. Breeva (4)
(1), (2), (3), (4) Pirogov Russian National Research University, Moscow, 117997, Russian Federation
UDK: УДК 616.215-007.271-089.844-053.36
DOI: https://doi.org/10.18692/1810-4800-2024-4-31-37
ABSTRACT
Abstract. Relevance. Congenital choanal atresia (CCA) is one of the most common congenital malformations of the nasal cavity. Due to the vital need for adequate nasal breathing in newborns, the disease is most severe. The article presents a method of endoscopic choanoplasty with the formation of posterior septal flaps with fibrin glue fixation. Patients and methods. The retrospective study included 26 children of the first year of life who underwent endoscopic choanoplasty between 2019 and 2024. The quality of nasal breathing was assessed based on clinical signs, sleep quality, and ability to eat independently using validated questionnaires. All children underwent endoscopic examination of the nasal cavity on the 3rd, 10th, and 30th days after surgery; the children were examined after 6, 12, and 24 months in follow-up. Results. A significant improvement in nasal breathing was noted in the early and late postoperative periods. In children with bilateral CCA, nasal breathing was restored right after surgery, oral feeding became possible in most children on the first day. During the observation period, all children showed signs of adequate re-epithelialization of the neochoana without signs of restenosis. Conclusions. The proposed choanoplasty technique can be the method of choice for the treatment of congenital choanal atresia since it allows restoring nasal breathing in the shortest possible time and ensuring a comfortable postoperative period and minimal risks of restenosis compared to the traditional technique using stents.
Publication date:
09.08.2024
Keywords:
congenital choanal atresia, newborns, choanoplasty, fibrin glue, nasal breathing, stentless For citation:
Gorina A. O., Polunin M. M., Asmanov A. I., Breeva O. A. Stentless choanoplasty technique in infants: our experience. Russian Otorhinolaryngology. 2024;23(4):31-37. (In Russ.) https://doi.org/10.18692/1810-4800-2024-4-31-37