Introduction: Choanal atresia is characterized by the abnormal presence of obstructive tissue preventing communication between the nasal cavity and the nasopharynx. The aim of this study was to determine the epidemiological profile of patients and to evaluate the results of treatment. Materials and methods: We conducted a retrospective descriptive study from January 1, 2000 to December 31, 2023. All patients treated for choanal atresia in the ENT department of the Fann University Hospital were included. All patients admitted to the department for respiratory distress related to choanal atresia were included in the study. Diagnosis was made on CT scan and endoscopic examination. Sociodemographic, clinical, radiological and therapeutic parameters were studied. Results: During the study period, 37 cases were identified. The mean age was 1 year, with extremes ranging from 1 day to 14 years, and 91% of patients were less than 6 months old. The sex ratio was 1. Moderate respiratory distress was the most frequent circumstance of discovery. Bone atresia was found in 45.94% of cases. The success rate varied according to the surgical technique used. Conclusion: Endoscopic treatment gives better results than blind divulsion.
References
[1]
Anajar, S., Hassnaoui, J., Rouadi, S. and Abada, R. (2017) A Rare Case Report of Bilateral Choanal Atresia in an Adult. International Journal of Surgery Case Reports, 37, 127-129. https://doi.org/10.1016/j.ijscr.2017.05.002
[2]
Moreddu, E., Rizzib, M., Adilc, E., Balakrishnand, K., Chane, K. and Chengf, A. (2019) International Pediatric Otolaryngology Group (IPOG) Consensus Recommendations: Diagnosis, Pre-Operative, Operative and Post-Operative Pediatric Choanal Atresia Care. International Journal of Pediatric Otorhinolaryngology, 123, 151-155. https://doi.org/10.1016/j.ijporl.2019.05.010
[3]
Holtmann, L., Stähr, K., Kirchner, J., Lang, S. and Mattheis, S. (2018) Endonasal Endoscopic Surgery of Choanal Atresia-Long Term Results. Laryngorhinootologie, 97, 264-268.
[4]
Lesciotto, K.M., Heuzé, Y., Jabs, E.W., Bernstein, J.M. and Richtsmeier, J.T. (2018) Choanal Atresia and Craniosynostosis: Development and Disease. Plastic and Reconstructive Surgery, 141, 156-168. https://doi.org/10.1097/PRS.0000000000003928
[5]
Andaloro, C. and La Mantia, I. (2024) Choanal Atresia. StatPearls Publishing.
[6]
Khamassi, K., Selmi, Z., Stambouli, I., Lahiani, R., Harzallah, M., Nejah, D., Ben Salah, M., Kaffel, N. and Ferjaoui, M. (2011) Prise en Charge de l’atrésie Choanale. Journal Tunisien d’ORL et de Chirurgie Cervico-Faciale, 26, 24-27.
[7]
Hajri, H., Mannoubi, S., Mathlouthi, N., Kaffel, N., Marrakchi, M., Kooli, H., and Ferjaoui, M. (2006) Imperforation Choanale Aspects Cliniques, Approache Therapeutique. Journal Tunisien d’ORL et de Chirurgie Cervico-Faciale, 17, 30-34. https://doi.org/10.4314/jtdorl.v17i1.42072
[8]
Bohimbo, J.E., Ngaba Mballa, O.N., Atanga, L., Fokouo, V. and Ndjolo, A. (2018) L’atrésie choanale congénitale à l’hopital central de yaoundé: A Propos de six cas. Health Sciences and Diseases, 19, 123-125.
[9]
El Korbi, A., Dgani, I., Ferjaoui, M., Cebil, E., Kolsi, N., Bouattay, R., Harrathi, K. and Koubaa, J. (2022) Résultats de la chirurgie endonasale de l’atrésie choanale: Facteurs influençant le resténose. Société Tunisienne d’ORL et de Chirurgie Cervico-Faciale, 48, 74-78.
[10]
Moreddu, E., Nicollas, R., Le Treut-Gay, C., Farinetti, A. and Triglia, J. (2014) Prise en charge chirurgicale des Atrésies choanales: 30 ans d’expérience. Annales Françaises d’oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale, 131, A64. https://doi.org/10.1016/j.aforl.2014.07.174
[11]
Bajin, M.D., et al. (2021) Endonasal Choanal Atresia Repair; Evaluating the Surgical Results of 58 Cases. The Turkish Journal of Pediatrics, 63, 136-140. https://doi.org/10.24953/turkjped.2021.01.016
[12]
Brown, O.E., Pownell, P. and Manning, S.C. (1996) Choanal Atresia: A New Anatomic Classification and Clinical Management Applications. The Laryngoscope, 106, 97-101. https://doi.org/10.1097/00005537-199601000-00019
[13]
Brown, O.E., Smith, T., Armstrong, E. and Grundfast, K. (1986) The Evaluation of Choanal Atresia by Computed Tomography. International Journal of Pediatric Otorhinolaryngology, 12, 85-98. https://doi.org/10.1016/S0165-5876(86)80061-1
[14]
Messineo, D., Chernikava, M., Pasquali, V., Bertin, S., Ciotti, M., de Soccio, G., Savastano, V. and Catalano, C. (2021) Radiological Parameters Review for Choanal Atresia. Pediatric Reports, 13, 302-311. https://doi.org/10.3390/pediatric13020038
[15]
Hengerer, A.S., Brickman, T.M. and Jeyakumar, A. (2008) Choanal Atresia: Embryologic Analysis and Evolution of Treatment, a 30-Year Experience. The Laryngoscope, 118, 862-866. https://doi.org/10.1097/MLG.0b013e3181639b91
[16]
Keller, J.L. and Kacker, A. (2000) Choanal Atresia, Charge Association, and Congenital Nasal Stenosis. Otolaryngologic Clinics of North America, 33, 1343-1351. https://doi.org/10.1016/S0030-6665(05)70285-1
[17]
Zainine, R., Sahtout, S., El Aoud, C., Sellami, M., Trabelsi, S., Tabebi, S., Beltaief, N. and Besbes, G. (2013) Atrésie choanale: A propos de 29 cas. Société Tunisienne d’ORL et de Chirurgie Cervico-Faciale, 26, 19-23.
[18]
Kwong, K.M. (2015) Current Updates on Choanal Atresia. Frontiers in Pediatrics, 3, Article 52. https://doi.org/10.3389/fped.2015.00052
[19]
Moreddu, E., Rossi, M.E., Nicollas, R. and Triglia, J.M. (2019) Prognostic Factors and Management of Patients with Choanal Atresia. The Journal of Pediatrics, 204, 234-239. https://doi.org/10.1016/j.jpeds.2018.08.074
[20]
Durmaz, A., Tosun, F., Yildirim, N., Sahan, M., Kivrakdal, C. and Gerek, M. (2008) Transnasal Endoscopic Repair of Choanal Atresia: Results of 13 Cases and Meta-Analysis. Journal of Craniofacial Surgery, 19, 1270-1274. https://doi.org/10.1097/SCS.0b013e3181843564
[21]
Achour, I., Kharrat, M., Ben Ayed, W. and Thabet, W. (2023) Atrésie des choanes: Diagnostic et prise en charge thérapeutique. Société Tunisienne d’ORL et de Chirurgie Cervico-Faciale, 49, 33-38.
