Choanal atresia surgery: outcomes in 42 patients over 20 years and a review of the literature
Background Choanal Atresia (CA) is potentially life-threatening and its repair has a variable revision rate. Objectives A case series study from 1997 to 2017 to evaluate the results of repair of CA and review factors affecting outcome. Methods Forty-two patients aged one day to 16 years were include...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2021-07, Vol.278 (7), p.2347-2356 |
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| container_title | European archives of oto-rhino-laryngology |
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| creator | Attya, H. Callaby, M. Thevasagayam, R. |
| description | Background
Choanal Atresia (CA) is potentially life-threatening and its repair has a variable revision rate.
Objectives
A case series study from 1997 to 2017 to evaluate the results of repair of CA and review factors affecting outcome.
Methods
Forty-two patients aged one day to 16 years were included. The outcome measures were the number of revision operations and the length of time over which surgery was required. A focused review of the recent literature (2000–2018) was done.
Results
Bilateral cases (17) had a mean of 5.24 operations compared to 2.2 operations in unilateral cases (25). Nine patients had bony CA and required 3.56 operations, twenty-four patients had mixed CA and required 3.58 operations. Twelve patients with comorbidities required more operations. Patients with reflux disease required a mean of 4.67 operations.
Conclusion
An increased rate of restenosis was found in patients with bilateral CA, GERD and those with comorbidities. Parents should be counselled regarding the likelihood of revision surgery. Use of stents or Mitomycin C did not impact the revision rate in this series. |
| doi_str_mv | 10.1007/s00405-020-06506-6 |
| format | Article |
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Choanal Atresia (CA) is potentially life-threatening and its repair has a variable revision rate.
Objectives
A case series study from 1997 to 2017 to evaluate the results of repair of CA and review factors affecting outcome.
Methods
Forty-two patients aged one day to 16 years were included. The outcome measures were the number of revision operations and the length of time over which surgery was required. A focused review of the recent literature (2000–2018) was done.
Results
Bilateral cases (17) had a mean of 5.24 operations compared to 2.2 operations in unilateral cases (25). Nine patients had bony CA and required 3.56 operations, twenty-four patients had mixed CA and required 3.58 operations. Twelve patients with comorbidities required more operations. Patients with reflux disease required a mean of 4.67 operations.
Conclusion
An increased rate of restenosis was found in patients with bilateral CA, GERD and those with comorbidities. Parents should be counselled regarding the likelihood of revision surgery. Use of stents or Mitomycin C did not impact the revision rate in this series.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-020-06506-6</identifier><identifier>PMID: 33386964</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Head and Neck Surgery ; Medicine ; Medicine & Public Health ; Neurosurgery ; Otorhinolaryngology ; Rhinology</subject><ispartof>European archives of oto-rhino-laryngology, 2021-07, Vol.278 (7), p.2347-2356</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-1d00317202cbde1c5a2e176f02a9faa0fae448f2c5ae42909bf0c2fb0e5d32d63</citedby><cites>FETCH-LOGICAL-c347t-1d00317202cbde1c5a2e176f02a9faa0fae448f2c5ae42909bf0c2fb0e5d32d63</cites><orcidid>0000-0002-7175-8666</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-020-06506-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-020-06506-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33386964$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Attya, H.</creatorcontrib><creatorcontrib>Callaby, M.</creatorcontrib><creatorcontrib>Thevasagayam, R.</creatorcontrib><title>Choanal atresia surgery: outcomes in 42 patients over 20 years and a review of the literature</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Background
Choanal Atresia (CA) is potentially life-threatening and its repair has a variable revision rate.
Objectives
A case series study from 1997 to 2017 to evaluate the results of repair of CA and review factors affecting outcome.
Methods
Forty-two patients aged one day to 16 years were included. The outcome measures were the number of revision operations and the length of time over which surgery was required. A focused review of the recent literature (2000–2018) was done.
Results
Bilateral cases (17) had a mean of 5.24 operations compared to 2.2 operations in unilateral cases (25). Nine patients had bony CA and required 3.56 operations, twenty-four patients had mixed CA and required 3.58 operations. Twelve patients with comorbidities required more operations. Patients with reflux disease required a mean of 4.67 operations.
Conclusion
An increased rate of restenosis was found in patients with bilateral CA, GERD and those with comorbidities. Parents should be counselled regarding the likelihood of revision surgery. Use of stents or Mitomycin C did not impact the revision rate in this series.</description><subject>Head and Neck Surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Rhinology</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kL1OwzAURi0EoqXwAgzII0vgxnbihg1V_ElILLBi3SbXNFUaF9sp6tvwLDwZKS2MTHf4zj3DYew0hYsUQF8GAAVZAgISyDPIk3yPDVMlVaK0yPfZEAqpE6W0HrCjEOYAkKlCHrKBlHKcF7kastfJzGGLDcfoKdTIQ-ffyK-vuOti6RYUeN1yJfgSY01tDNytyHMBX59rQh84thVH7mlV0wd3lscZ8aaO5DF2no7ZgcUm0MnujtjL7c3z5D55fLp7mFw_JqVUOiZpBSBTLUCU04rSMkNBqc4tCCwsIlgkpcZW9AMpUUAxtVAKOwXKKimqXI7Y-da79O69oxDNog4lNQ225LpghNJqrLI-VY-KLVp6F4Ina5a-XqBfmxTMpqvZdjU9bH66mo3_bOfvpguq_l5-Q_aA3AKhn9q-oJm7zvdhw3_ab4k7g_M</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Attya, H.</creator><creator>Callaby, M.</creator><creator>Thevasagayam, R.</creator><general>Springer Berlin Heidelberg</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7175-8666</orcidid></search><sort><creationdate>20210701</creationdate><title>Choanal atresia surgery: outcomes in 42 patients over 20 years and a review of the literature</title><author>Attya, H. ; Callaby, M. ; Thevasagayam, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-1d00317202cbde1c5a2e176f02a9faa0fae448f2c5ae42909bf0c2fb0e5d32d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Head and Neck Surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Rhinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Attya, H.</creatorcontrib><creatorcontrib>Callaby, M.</creatorcontrib><creatorcontrib>Thevasagayam, R.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Attya, H.</au><au>Callaby, M.</au><au>Thevasagayam, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Choanal atresia surgery: outcomes in 42 patients over 20 years and a review of the literature</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>278</volume><issue>7</issue><spage>2347</spage><epage>2356</epage><pages>2347-2356</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Background
Choanal Atresia (CA) is potentially life-threatening and its repair has a variable revision rate.
Objectives
A case series study from 1997 to 2017 to evaluate the results of repair of CA and review factors affecting outcome.
Methods
Forty-two patients aged one day to 16 years were included. The outcome measures were the number of revision operations and the length of time over which surgery was required. A focused review of the recent literature (2000–2018) was done.
Results
Bilateral cases (17) had a mean of 5.24 operations compared to 2.2 operations in unilateral cases (25). Nine patients had bony CA and required 3.56 operations, twenty-four patients had mixed CA and required 3.58 operations. Twelve patients with comorbidities required more operations. Patients with reflux disease required a mean of 4.67 operations.
Conclusion
An increased rate of restenosis was found in patients with bilateral CA, GERD and those with comorbidities. Parents should be counselled regarding the likelihood of revision surgery. Use of stents or Mitomycin C did not impact the revision rate in this series.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33386964</pmid><doi>10.1007/s00405-020-06506-6</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-7175-8666</orcidid></addata></record> |
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| ispartof | European archives of oto-rhino-laryngology, 2021-07, Vol.278 (7), p.2347-2356 |
| issn | 0937-4477 1434-4726 |
| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Head and Neck Surgery Medicine Medicine & Public Health Neurosurgery Otorhinolaryngology Rhinology |
| title | Choanal atresia surgery: outcomes in 42 patients over 20 years and a review of the literature |
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