Modified transnasal endoscopic repair of bilateral choanal atresia with pulmonary atresia

Authors

  • Chandra Shekar Reddy Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry
  • Natarajan Ramalingam Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry
  • Jyotirmay S. Hegde Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry
  • Sunil Kumar Saxena Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20184371

Keywords:

Bilateral choanal atresia, CHARGE syndrome

Abstract

Congenital choanal atresia is due to failure in the development of communication between the nasal cavity and nasopharynx in newborns. This condition is life threatening when it is bilateral and causes severe respiratory distress immediately after birth as children are obligatory nose breathers. We present a one day old child who presented to us with severe respiratory distress, which we diagnosed as choanal atresia. The child also had tertology of fallot with pulmonary atresia and had to be intubated as oxygen saturation was not adequate. Surgery was undertaken on emergency basis on day one of life which helped in extubation of the child. This case highlights the importance of prompt diagnosis of a case bilateral choanal atresia, and also the importance of early surgery which can lead to significant improvement.

Author Biographies

Chandra Shekar Reddy, Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

Junior resident in the department of otolaryngology and head and neck surgery at JIPMER

Natarajan Ramalingam, Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

Senior Resident
Department of ENT
JIPMER

Jyotirmay S. Hegde, Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

Associate professor

Department of ENT

JIPMER

Sunil Kumar Saxena, Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

Professor, Department of ENT, JIPMER

References

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Published

2018-10-24

Issue

Vol. 4 No. 6 (2018): November-December 2018

Section

Case Reports