Acta Scientific Otolaryngology (ASOL)

Technical Paper Volume 2 Issue 3

Choanal Atresia: A New Technique for Permanent Treatment

Tiago Fraga Vieira*, Camila Braz Rodrigues da Silva, Luanna Rocha Vieira Martins, José Márcio Costa Barcelos Júnior and Mirian Cabral Moreira de Castro

Otolaryngology Department, Technique Was Developed at Santa Casa and Madre Teresa Hospitals

*Corresponding Author: Tiago Fraga Vieira, Otolaryngology Department, Technique Was Developed at Santa Casa and Madre Teresa Hospitals.

Received: January 26, 2020; Published: February 07, 2020

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Abstract

  Choanal atresia remains a challenge for the otolaryngologist. Restenosis may still occur post surgery and represents unsuccessful treatment. Current surgical endoscopic techniques still have a failure rate of around 15 percent. A more effective technique presenting lower rates of restenosis is necessary. This paper describes a new technique that may be more effective by using a reversal flap in the posterior septum. The authors provide a step-by-step description of this new procedure. The reversal flap covers the exposed bone surface with mucosa, which can prevent stenosis and contribute to a better healing process. The authors believe that by avoiding the raw area in the posterior septum, stenosis recurrence may be reduced and therefore recommend considering this technique for more effective treatment of choanal atresia.

Keywords: Choanal Atresia; Flap Technique; Endoscopic Repair; Congenital Nasal Obstruction




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

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