A rare case of congenital bilateral membranous choanal atresia with oesophageal atresia in a neonate

  • Dr.Rabindran Chandran Consultant Neonatologist, Sunrise Superspeciality Children’s Hospital, Hyderabad, India
  • Dr. Hemant Parakh Consultant Neonatologist, Sunrise Superspeciality Children’s Hospital, Hyderabad, India
Keywords: Choanal Atresia, Oesophageal Atresia, Membranous Choanal Atresia

Abstract

Congenital Choanal Atresia is the developmental failure of the posterior choanae to communicate with the nasopharynx . Bilateral choanal atresia is an otolaryngology emergency as neonates are obligate nose breathers. Associated malformations are common.We report a case of Congenital Bilateral Membranous Choanal Atresia whose evaluation revealed associated esophageal atresia. Awareness of such associated anomalies is a must for prompt management of such babies.

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References

1. Case AP, Mitchell LE. Prevalence and patterns of choanal atresia and choanal stenosis among pregnancies in Texas, 1999-2004. Am J Med Genet A. 2011 Apr;155A(4):786-91. doi: 10.1002/ajmg.a.33882.Epub 2011 Mar 17. [PubMed]

2. V. Raveenthiran. Carbimazole Embryopathy and Choanal Atresia. Journal of Neonatal Surgery 2014;3(1):5. [PubMed]

3. Khaled Al-Noury and Alsaid Lotfy . Role of Multislice Computed Tomography and Local Contrast in the Diagnosis and Characterization of Choanal Atresia. International Journal of Pediatrics.Volume 2011 (2011), Article ID 280763, 6 pages; http://dx.doi.org/10.1155/2011/280763. [PubMed]

4. Muraji T, Mahour GH. Surgical problems in patients with Vater associated anomalies. J Pediatr Surg. 1984 Oct;19(5):550-4. [PubMed]

5. Holder TM1, Ashcraft KW, Sharp RJ, Amoury RA. Care of infants with esophageal atresia, oesophageal fistula, and associated anomalies. J Thorac Cardiovasc Surg. 1987 Dec;94(6):828-35.

6. Ein SH1, Shandling B, Wesson D, Filler RM. Esophageal atresia with distal tracheooesophageal fistula: Associated anomalies and prognosis in the 1980s. J Pediatr Surg. 1989 Oct;24(10):1055-9.

7. Cheung R1, Prince M. Comparison of craniofacial skeletal characteristics of infants with bilateral choanal atresia and an age-matched normative population: computed tomography analysis J Otolaryngol. 2001 Jun;30(3):173-8.

8. Der Kaloustian VM, Tewfik TL. Congenital Anomalies of the Ear, Nose and Throat. Oxford, United Kingdom: Oxford University; Press; 1997.

9. Ramsden JD1, Campisi P, Forte V. Choanal atresia and choanal stenosis. Otolaryngol Clin North Am. 2009 Apr;42(2):339-52, x. doi: 10.1016/j.otc.2009.01.001. [PubMed]

10. Friedman NR1, Mitchell RB, Bailey CM, Albert DM, Leighton SE. Management and outcome of choanal atresia correction. Int J Pediatr Otorhinolaryngol. 2000 Jan 30;52(1):45-51. [PubMed]

11. Deutsch E, Kaufman M, Eilon A. Transnasal endoscopic management of choanal atresia Int J Pediatr Otorhinolaryngol. 1997 May 4;40(1):19-26. [PubMed]

12. Spitz L. Oesophageal atresia. Orphanet J Rare Dis. 2007 May 11;2:24. doi:10.1186/1750-1172-2-24. doi:10.1186/1750-1172-2-24. [PubMed]

13. P.Ou, E.Seror, W.Layouss, Y.Revillon, and F.Brunolle. Definitive diagnosis and surgical planning of H-type tracheoesophageal fistula in critically ill neonate: First experience using air distension of the esophagus during high resolution computed tomography acquisition. J. Thorac. CardioVasc.Surg., April 1, 2007;133(4):1116-1117.

14. McHugh K. CT Dose Reduction in pediatric patient. AJR Am J Roentgenol. 2005 May;184(5):1706; author reply 1706-7. [PubMed]

15. Grosfeld JL, Ballantine TV. Esophageal atresia and tracheo-esophageal fistula ,effect of delayed thoracotomy on survival. Surgery. 1978 Sep;84(3):394-402. [PubMed]

16. Waterston DJ, Bonham-Carter RE, Aberdeen E. Oesophageal atresia: Tracheo-oesophageal fistula. A study of survival in 218 infants. Lancet. 1962 Apr 21;1(7234):819-22. [PubMed]

17. Spitz L. Oesophageal atresia: Past, present, and future. J Pediatr Surg. 1996 Jan;31(1):19-25.
CITATION
DOI: 10.17511/ijmrr.2015.i4.078
Published: 2015-05-31
How to Cite
1.
Chandran R, Parakh H. A rare case of congenital bilateral membranous choanal atresia with oesophageal atresia in a neonate. Int J Med Res Rev [Internet]. 2015May31 [cited 2024May3];3(4):444-7. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/257
Section
Case Report