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Long-term outcome of 56 patients after transnasal endoscopic repair of congenital choanal atresia

Choanal atresia (CA) is rare. Unilateral CA (UCA) can be detected late in life. Recurrences following CA repair are challenging. To examine the long-term surgical and subjective outcomes in patients with CA and the reason for recurrences. Outcome of transnasal endoscopic repair of congenital CA was...

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Hauptverfasser: Yılmaz Topçuoğlu, Miray-Su (VerfasserIn) , Plinkert, Peter K. (VerfasserIn) , Federspil, Philippe A. (VerfasserIn) , Baumann, Ingo (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 17 Nov 2025
In: Acta oto-laryngologica
Year: 2025, Jahrgang: 145, Heft: 12, Pages: 1147-1154
ISSN:1651-2251
DOI:10.1080/00016489.2025.2561913
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1080/00016489.2025.2561913
Volltext
Verfasserangaben:Miray-Su Yılmaz Topçuoğlu, Peter K. Plinkert, Philippe A. Federspil and Ingo Baumann
Beschreibung
Zusammenfassung:Choanal atresia (CA) is rare. Unilateral CA (UCA) can be detected late in life. Recurrences following CA repair are challenging. To examine the long-term surgical and subjective outcomes in patients with CA and the reason for recurrences. Outcome of transnasal endoscopic repair of congenital CA was examined between 2010 and 2022 in 25 patients with UCA and 31 patients with bilateral CA (BCA). Demographics, surgical data, and postoperative course were investigated. Subjective outcomes with regard to function and quality of life were examined via a visual analogue scale (VAS). Twelve surgeries were performed in ten patients with BCA due to recurrence. Insufficiently resected posterior vomer, and granulation tissue growth caused recurrences. VAS demonstrated a significant improvement in function (p < 0.0001) and quality of life (p < 0.0001) following surgery in patients with UCA and BCA with the highest levels of postoperative satisfaction (median satisfaction score of 10). Insufficient vomer resections and granulation tissue cause recurrences. Patients with UCA exhibited substantial impairment in both function and quality of life. BCA requires immediate treatment at birth. But also, the treatment of patients with UCA should be timely, contingent on present symptoms, as CA repair significantly increase their quality of life.
Beschreibung:Gesehen am 16.02.2026
Beschreibung:Online Resource
ISSN:1651-2251
DOI:10.1080/00016489.2025.2561913

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