Özet:

Objective: Choanal atresia is described as a defect in the development of communication between the nasal cavity and nasopharynx. An atresia is determined in every 5-8 thousand live births. It is a life -threatening condition if double sided. A unilateral choanal atresia may not be recognized until an advanced age. Stenting after surgical treatment of choanal atresia is controversial. Our experience in the stentless treatment of 8 choanal atresia cases at our clinic is presented in this article. Material and Methods: Our cases between 2011 and 2015 were reviewed retrospectively. Information on the 8 cases was obtained from patients’ files. Data including the patient’s age, response time, contents of atresic plaque, additional abnormalities and side of the atresia were noted.Results: Two of choanal atresia patients were male and six were female. The mean age was 5.1 years. The atresia was bilateral in 1 patient and unilateral in 7 patients. While there was difficulty breathing in patients with bilateral choanal atresia, there were usually complaints of unilateral runny nose and nasal congestion in patients with unilateral atresia. An atresia was found on the right in 4 patients and on the left in 3 patients. The composition of the atresic plaque was membranoosseous in 7 patients and osseous in 1 patient. Encephalocele was detected in one patient. The mean duration of hospitalization was 4.1 days. Restenosis was seen in one patient.conclusion: Choanal atresia is a pathology that may cause morbidity and mortality and requires timely intervention. The endoscopic nasal approach has become the preferred method with the development of endoscopic systems. We believe that the technique of stentless choanal atresia surgery is safe and successful

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