Evidence map›Paper›PMID 42228118›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Choanal atresia repair in Europe and the world - a comprehensive investigation of the current state of care.

Miray-Su Yılmaz Topçuoğlu, Patrick J Schuler, Claire Hopkins, Maryana Cherkes, Marek Ciller, Sara Costa, Natalia Glibbery, Petra Kovács, Luiza Mitrea-Sireţeanu, Jakub Zieliński and 2 more

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Miray-Su Yılmaz TopçuoğluDepartment of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty Heidelberg, University Hospital Heidelberg, Im Neuenheimer Feld 400, Heidelberg, 69120, Germany. miray-su.yilmaztopcuoglu@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0001-7784-7822
Patrick J SchulerDepartment of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty Heidelberg, University Hospital Heidelberg, Im Neuenheimer Feld 400, Heidelberg, 69120, Germany.ORCID http://orcid.org/0000-0002-1065-8709
Claire HopkinsEar, Nose and Throat Department, Guy's Hospital, London, UK.ORCID http://orcid.org/0000-0003-3993-1569
Maryana CherkesDepartment of Otorhinolaryngology, Head and Neck Surgery, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-6553-974X
Marek CillerDepartment of Otorhinolaryngology, Second Faculty of Medicine, University Hospital Motol, Prague, Czech Republic.ORCID http://orcid.org/0009-0002-5639-040X
Sara CostaDepartment of Otolaryngology-Head and Neck Surgery, Unidade Local de Saúde de Santo António, Porto, Portugal.ORCID http://orcid.org/0009-0006-0708-5846
Natalia GlibberyDepartment of Otolaryngology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID http://orcid.org/0000-0003-1050-5208
Petra KovácsDepartment of Otolaryngology, Heim Pál National Pediatric Institute, Budapest, Hungary.ORCID http://orcid.org/0009-0000-3178-7318
Luiza Mitrea-SireţeanuSaint Mary Plaza Clinic, Bucharest, Romania.ORCID http://orcid.org/0009-0003-6589-6995
Jakub ZielińskiDepartment of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University, Wroclaw, Poland.ORCID http://orcid.org/0000-0003-1747-2250
Jens H WesthoffDepartment I, Center for Pediatric and Adolescent Medicine, Medical Faculty Heidelberg, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-9837-9383
Ingo BaumannDepartment of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty Heidelberg, University Hospital Heidelberg, Im Neuenheimer Feld 400, Heidelberg, 69120, Germany.ORCID http://orcid.org/0000-0001-6945-2601

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeManagement of patients with choanal atresia (CA) involves various aspects. While a recent study revealed variability in CA management practices across German Ear, Nose, Throat (ENT) departments, the actual current state of care in Europe and worldwide remains to be elucidated, which was the aim of this study.

methodsAn online survey was conducted on preoperative diagnostics, surgical procedures, and postoperative care in CA patients. A total of 116 ENT departments from 46 countries and six continents participated.

resultsThe median number of CA repairs performed annually across all continents was three. Unilateral CA repair was performed by 64% of ENT departments in patients under five years and by 30% in patients over five years. Preoperative hearing tests were not standard (19%). Computed tomography (CT) was often performed (84%). Endoscopic transnasal CA repair was the main approach (81%). The posterior vomer was routinely resected by 57% of participants. Stents were always or mostly used by 33%. Saline irrigations (77%), topical corticosteroids (37%), and perioperative antibiotics (32%) were recommended as postoperative nasal care measures. Recurrences were attributed to scarring (71%), granulation tissue (40%), and insufficient vomer resections (21%).

conclusionWhile some practices align with existing recommendations, other aspects require further discussion. The age at which patients should undergo unilateral CA repair still needs clarification. Preoperative hearing tests were not commonly implemented. CT imaging was widely used despite the associated radiation exposure. Over half of the participants resected the posterior vomer. The use of stents and perioperative antibiotics should be discussed further.

Indexed as

Choanal AtresiaPractice Patterns, Physicians'Child, PreschoolEndoscopyEuropeHumansPostoperative CareStentsSurveys and QuestionnairesTomography, X-Ray ComputedChoanal atresiaCongenital abnormalitiesDiagnosisPostoperative careSurvey

Identifiers

PMID42228118
PMCPMC13408119

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.