ArticleArchives of craniofacial surgery2020
Image-guided navigation surgery for bilateral choanal atresia with a Tessier number 3 facial cleft in an adult.
Article in Archives of craniofacial surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Bilateral Choanal Atresia in a 65-Year-Old Female: A Case Report and Literature Review.Case reports in otolaryngology · 2025Article
- Empirical overview of a delayed diagnosis of bilateral congenital choanal atresia in an adolescent male: management with 'coblation-assisted surgery'.BMJ case reports · 2023Article
- Management of Choanal Atresia: National Recommendations with a Comprehensive Literature Review.Children (Basel, Switzerland) · 2023Article
- Skull Base Anatomy in Patients with Bilateral Choanal Atresia: A Radiographic Study.Journal of neurological surgery. Part B, Skull base · 2022Article
- Surgical Management of Choanal Atresia: Two Classic Cases and Review of the Literature.Cureus · 2022Article
- The effect of biphasic calcium phosphate and demineralized bone matrix on tooth eruption in mongrel dogs.Archives of craniofacial surgery · 2021Article
- Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia.Medicina (Kaunas, Lithuania) · 2021Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The coexistence of craniofacial cleft and bilateral choanal atresia has only been reported in three cases in the literature, and only one of those cases involved a Tessier number 3 facial cleft. It is also rare for bilateral choanal atresia to be found in adulthood, with 10 previous cases reported in the literature. This report presents the case of a 19-year-old woman with a Tessier number 3 facial cleft who was diagnosed with bilateral choanal atresia in adulthood. At first, the diagnosis of bilateral choanal atresia was missed and septoplasty was performed. After septoplasty, the patient's symptoms did not improve, and an endoscopic examination revealed previously unnoticed bilateral choanal atresia. Computed tomography showed left membranous atresia and right bony atresia. The patient underwent an operation for opening and widening of the left choana with an image-guided navigation system (IGNS), which enabled accurate localization of the lesion while ensuring patient safety. Postoperatively, the patient became able to engage in nasal breathing and reported that it was easier for her to breathe, and there were no signs of restenosis at a 26-month follow-up. The patient was successfully treated with an IGNS.
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