Congenital and Acquired Choanal Atresia: A Comprehensive Case Series on the Diagnosis and Contemporary Management.

IF 0.4 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-08-01 Epub Date: 2025-05-31 DOI:10.1007/s12070-025-05623-0

Vikas Gupta, Poonam Raj, D K Gupta, Rajeev Chugh, Varun Jerath, S C Shaw, Avanti Chauhan

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引用次数: 0

Abstract

Choanal atresia or stenosis (CA/S), whether congenital or acquired, is a rare but clinically significant condition characterized by the obstruction of the posterior nasal aperture. While congenital bilateral choanal atresia (CA) poses an immediate life-threatening risk in neonates due to obligate nasal breathing, unilateral CA may go unnoticed for several years. Acquired forms-particularly post-radiation-are increasingly recognized for their morbidity and impact on quality of life. We present five cases of CA having varied presentation from congenital non syndromic unilateral/bilateral CA to syndromic bilateral CA along with acquired cases of CA post radiotherapy for head and neck malignancies. This case series combines our experience with both congenital and acquired types of choanal atresia, offering a unique comparative perspective on their presentation, diagnosis, and surgical management.

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先天性和获得性后肛门闭锁：诊断和当代管理的综合病例系列。

后肛门闭锁或狭窄（CA/S），无论是先天性的还是获得性的，都是一种罕见但临床上重要的疾病，其特征是鼻腔后孔阻塞。虽然先天性双侧后肛门闭锁（CA）会对新生儿造成直接危及生命的风险，但单侧CA可能会在数年内被忽视。获得性形式-特别是放射后-因其发病率和对生活质量的影响而越来越被认识到。我们报告了5例CA的不同表现，从先天性非综合征性单侧/双侧CA到综合征性双侧CA，以及头颈部恶性肿瘤放疗后获得性CA的病例。本病例系列结合了我们对先天性和获得性后肛门闭锁的经验，对其表现、诊断和手术治疗提供了独特的比较观点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.