International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Diagnosis, pre-operative, operative and post-operative pediatric choanal atresia care

Int J Pediatr Otorhinolaryngol. 2019 Aug:123:151-155. doi: 10.1016/j.ijporl.2019.05.010. Epub 2019 May 13.

Abstract

Objective: To provide recommendations to otolaryngologists and allied physicians for the comprehensive management of young infants who present with signs or symptoms of choanal atresia.

Methods: A two-iterative delphi method questionnaire was used to establish expert recommendations by the members of the International Otolaryngology Group (IPOG), on the diagnostic, intra-operative, post-operative and revision surgery considerations.

Results: Twenty-eight members completed the survey, in 22 tertiary-care center departments representing 8 countries. The main consensual recommendations were: nasal endoscopy or fiberscopy and CT imaging are recommended for diagnosis; unilateral choanal atresia repair should be delayed after at least age 6 months whenever possible; transnasal endoscopic repair is the preferred technique; long term follow-up is recommended (minimum one year) using nasal nasofiberscopy or rigid endoscopy, without systematic imaging.

Conclusion: Choanal atresia care consensus recommendations are aimed at improving patient-centered care in neonates, infants and children with choanal atresia.

Keywords: Charge syndrome; Choanal atresia; Endoscopic sinus surgery; Nasal obstruction; Pediatric.

Publication types

  • Review

MeSH terms

  • Child
  • Child, Preschool
  • Choanal Atresia / diagnosis*
  • Choanal Atresia / surgery*
  • Consensus
  • Endoscopy
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Otolaryngology
  • Patient-Centered Care
  • Practice Guidelines as Topic
  • Tomography, X-Ray Computed