Atresia bilateral de coanasPresentación de un caso

1. Tripodi, Cinzia
2. Marrero Pérez, Carmen Luz
3. Garabal, José Antonio
4. Arango Sancho, Pedro
5. Romero, Sabina
6. Ferrera, Raquel
7. López Mendoza, Santiago

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More publications in: Canarias Pediátrica

Abstract

Choanal atresia is a rare congenital malformation. Its incidence is 1/5 000-8 000 newborns. It is characterized by unilateral nasal obstruction in 55% of cases and 45% bilateral. It may occur isolated or associated with CHARGE sequence. The surgical approaches are the transpalatal, transeptal and transnasal . In recent years, the latter has moved to the classical transpalatal pathway. The most frequent complication is postsurgical stenosis. We report the case of a newborn with 30 hours of life, referred from a district hospital for respiratory distress moderate to mourn or eating , which disappears at rest. The passage of probe no objective right choana and left about difficulty. The diagnosis was confirmed by nasofibroscopy and imaging techniques. The choice of technique and timing of surgery depends on the unilateral or bilateral nature, the age of the patient and the clinic. Choanal atresia is a diagnosis to be considered in the differential diagnosis of respiratory distress in the newborn

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