International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Diagnosis, pre-operative, operative and post-operative pediatric choanal atresia care. (August 2019)

• Record Type: Journal Article
• Authors: Moreddu, Eric; Rizzi, Mark; Adil, Eelam; Balakrishnan, Karthik; Chan, Kenny; Cheng, Alan; Daniel, Sam J.; de Alarcon, Alessandro; Hart, Catherine; Hartnick, Christopher; Inglis, Andrew; Leboulanger, Nicolas; Pransky, Seth; Rahbar, Reza; Russell, John; Rutter, Mike; Sidell, Douglas; Smith, Richard J.H.; Soma, Marlene; Spratley, Jorge; Thompson, Dana; Trozzi, Marilena; Ward, Robert; Wyatt, Michelle; Yeung, Jeffrey; Zalzal, George; Zur, Karen; Nicollas, Richard
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 123(2019:Aug.)
• Page Start: 151
• Page End: 155
• Publication Date: 2019-08
• Subjects: Choanal atresia -- Charge syndrome -- Endoscopic sinus surgery -- Nasal obstruction -- Pediatric; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2019.05.010
• Languages: English
• ISSNs: 0165-5876

Abstract

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.