Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correction

<h3>Background</h3><p dir="ltr">Choanal atresia (CA) can be defined as a failure to develop the communication between the nasal cavity and nasopharynx. May occur as a plate osteo-membranous, bony or membranous. Bilateral congenital CA that presents in adulthood is extreme...

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Main Author: Ahmad Nasrat Al-juboori (17337832) (author)
Other Authors: Amira Al Hail (17337835) (author), Saeed Saleh Emam (17337838) (author)
Published: 2022
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author Ahmad Nasrat Al-juboori (17337832)
author2 Amira Al Hail (17337835)
Saeed Saleh Emam (17337838)
author2_role author
author
author_facet Ahmad Nasrat Al-juboori (17337832)
Amira Al Hail (17337835)
Saeed Saleh Emam (17337838)
author_role author
dc.creator.none.fl_str_mv Ahmad Nasrat Al-juboori (17337832)
Amira Al Hail (17337835)
Saeed Saleh Emam (17337838)
dc.date.none.fl_str_mv 2022-11-19T15:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.xocr.2022.100489
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Congenital_bilateral_adult_choanal_atresia_Transnasal_endoscopic_coblation_assisted_correction/24501139
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Bilateral congenital
Choanal atresia
Adult
Coblation
dc.title.none.fl_str_mv Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correction
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Choanal atresia (CA) can be defined as a failure to develop the communication between the nasal cavity and nasopharynx. May occur as a plate osteo-membranous, bony or membranous. Bilateral congenital CA that presents in adulthood is extremely rare. The aim of this presentation is to describe clinical features, diagnosis and the outcome of transnasal endoscopic coblation assisted correction in adult patient.</p><h3>Case presentation</h3><p dir="ltr">Twenty-six years old Ugandan female presented to Ear, Nose and Throat outpatient clinic in AlWakra Hospital, Qatar, suffered from nasal obstruction, snoring and bilateral, discharge and there was no history of nasal instrumentation or exposure to radiation. Nasal endoscopy revealed nearly complete obliteration of posterior choana on both sides with left sided pin point hole, and right sided very small hole (2–3 mm). Non-contrast computerized tomography of nose showed bilateral membranous CA. Endoscopic transnasal coblation assisted correction was planned and done, nasotracheal tube used as stent, and removed after six weeks. Fourteen months after the procedure, revealed patent posterior choana on both sides.</p><h3>Conclusion</h3><p dir="ltr">Congenital bilateral CA is an extremely rare condition in adults. Nasal endoscopy and preoperative computed tomography help to guide the surgical procedure. Transnasal endoscopic coblation assisted correction provide less traumatic, with very minimal bleeding, and a faster time for the procedure.</p><h2>Other Information</h2><p dir="ltr">Published in: Otolaryngology Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.xocr.2022.100489" target="_blank">https://dx.doi.org/10.1016/j.xocr.2022.100489</a></p>
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id Manara2_12d3ea8c3a493a3ae7f35af82446f5b2
identifier_str_mv 10.1016/j.xocr.2022.100489
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24501139
publishDate 2022
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rights_invalid_str_mv CC BY 4.0
spelling Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correctionAhmad Nasrat Al-juboori (17337832)Amira Al Hail (17337835)Saeed Saleh Emam (17337838)Biomedical and clinical sciencesClinical sciencesBilateral congenitalChoanal atresiaAdultCoblation<h3>Background</h3><p dir="ltr">Choanal atresia (CA) can be defined as a failure to develop the communication between the nasal cavity and nasopharynx. May occur as a plate osteo-membranous, bony or membranous. Bilateral congenital CA that presents in adulthood is extremely rare. The aim of this presentation is to describe clinical features, diagnosis and the outcome of transnasal endoscopic coblation assisted correction in adult patient.</p><h3>Case presentation</h3><p dir="ltr">Twenty-six years old Ugandan female presented to Ear, Nose and Throat outpatient clinic in AlWakra Hospital, Qatar, suffered from nasal obstruction, snoring and bilateral, discharge and there was no history of nasal instrumentation or exposure to radiation. Nasal endoscopy revealed nearly complete obliteration of posterior choana on both sides with left sided pin point hole, and right sided very small hole (2–3 mm). Non-contrast computerized tomography of nose showed bilateral membranous CA. Endoscopic transnasal coblation assisted correction was planned and done, nasotracheal tube used as stent, and removed after six weeks. Fourteen months after the procedure, revealed patent posterior choana on both sides.</p><h3>Conclusion</h3><p dir="ltr">Congenital bilateral CA is an extremely rare condition in adults. Nasal endoscopy and preoperative computed tomography help to guide the surgical procedure. Transnasal endoscopic coblation assisted correction provide less traumatic, with very minimal bleeding, and a faster time for the procedure.</p><h2>Other Information</h2><p dir="ltr">Published in: Otolaryngology Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.xocr.2022.100489" target="_blank">https://dx.doi.org/10.1016/j.xocr.2022.100489</a></p>2022-11-19T15:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.xocr.2022.100489https://figshare.com/articles/journal_contribution/Congenital_bilateral_adult_choanal_atresia_Transnasal_endoscopic_coblation_assisted_correction/24501139CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/245011392022-11-19T15:00:00Z
spellingShingle Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correction
Ahmad Nasrat Al-juboori (17337832)
Biomedical and clinical sciences
Clinical sciences
Bilateral congenital
Choanal atresia
Adult
Coblation
status_str publishedVersion
title Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correction
title_full Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correction
title_fullStr Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correction
title_full_unstemmed Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correction
title_short Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correction
title_sort Congenital bilateral adult choanal atresia: Transnasal endoscopic coblation assisted correction
topic Biomedical and clinical sciences
Clinical sciences
Bilateral congenital
Choanal atresia
Adult
Coblation