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

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

Author information

1
La Timone Children's Hospital, Aix-Marseille Université, Marseille, France. Electronic address: Eric.moreddu@ap-hm.fr.
2
Children's Hospital of Philadelphia, Philadelphia, PA, USA.
3
Boston Children's Hospital, Boston, MA, USA.
4
Mayo Clinic, Rochester, MN, USA.
5
Children's Hospital Colorado, Aurora, CO, USA.
6
The Children's Hospital at Westmead, Sydney, Australia.
7
Montreal Children's Hospital, McGill University, Montreal, Canada.
8
Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
9
Massachusetts Eye and Ear Infirmary, Boston, MA, USA.
10
Seattle Children's Hospital, Seattle, WA, USA.
11
Hôpital Necker Enfants Malades, APHP, Université Paris Descartes, Paris, France.
12
Rady Children's Hospital San Diego, San Diego, CA, USA.
13
Our Lady's Hospital For Sick Children, Dublin, Ireland.
14
Stanford University, Stanford, CA, USA.
15
University of Iowa Hospitals And Clinics, Iowa City, IA, USA.
16
Sydney Children's Hospital, Sydney, Australia.
17
Hospital S. João Center, Univ. of Porto Faculty of Medicine, Cintesis, Porto, Portugal.
18
Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
19
Bambino Gesù Children's Hospital, Roma, Italy.
20
NYU Langone Medical Center, New York, NY, USA.
21
Great Ormond Street Hospital, London, UK.
22
Children's National Medical Center, Washington, DC, USA.
23
La Timone Children's Hospital, Aix-Marseille Université, Marseille, France.

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

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