Antenatal ultrasound findings in choanal atresia: A case report and review of the literature
Choanal atresia occurs in about 1 in 5000 births and is associated with other structural and genetic abnormalities. Choanal atresia is usually diagnosed postnatally due to respiratory distress, and rarely diagnosed antenatally. Here, a woman with severe polyhydramnios is described, whose fetus was d...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911224000031 |
| _version_ | 1797352619186847744 |
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| author | Inshirah Sgayer Lior Lowenstein Marwan Odeh |
| author_facet | Inshirah Sgayer Lior Lowenstein Marwan Odeh |
| author_sort | Inshirah Sgayer |
| collection | DOAJ |
| description | Choanal atresia occurs in about 1 in 5000 births and is associated with other structural and genetic abnormalities. Choanal atresia is usually diagnosed postnatally due to respiratory distress, and rarely diagnosed antenatally. Here, a woman with severe polyhydramnios is described, whose fetus was diagnosed antenatally with isolated bilateral choanal atresia, as evident by persistent absence of flow through the nostrils on ultrasound. A literature review is presented of the antenatal findings of choanal atresia, using ultrasound and other imaging modalities. An association of choanal atresia with polyhydramnios should be considered. Examining flow through the fetal nose, using color Doppler, might aid in diagnosing choanal atresia. If this condition is suspected, a detailed ultrasound scan should be done to rule out other anomalies. Fetal magnetic resonance imaging has been suggested as an additional imaging tool in selected patients. Genetic counselling and invasive prenatal testing should be offered. |
| first_indexed | 2024-03-08T13:19:33Z |
| format | Article |
| id | doaj.art-43229984e7e548159a3608ed81882ec9 |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-03-08T13:19:33Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-43229984e7e548159a3608ed81882ec92024-01-18T04:18:06ZengElsevierCase Reports in Women's Health2214-91122024-03-0141e00582Antenatal ultrasound findings in choanal atresia: A case report and review of the literatureInshirah Sgayer0Lior Lowenstein1Marwan Odeh2Department of Obstetrics and Gynecology, Galilee Medical Center, Highway 89, P.O Box 21, Nahariya 2210001, Israel; Azrieli Faculty of Medicine, Bar Ilan University, 8 Henrietta Szold St., P.O Box 1589, Safed 1311502, Israel; Corresponding author at: Department of Obstetrics and Gynecology, Galilee Medical Center, Highway 89, P.O Box 21, Nahariya 2210001, Israel.Department of Obstetrics and Gynecology, Galilee Medical Center, Highway 89, P.O Box 21, Nahariya 2210001, Israel; Azrieli Faculty of Medicine, Bar Ilan University, 8 Henrietta Szold St., P.O Box 1589, Safed 1311502, IsraelDepartment of Obstetrics and Gynecology, Galilee Medical Center, Highway 89, P.O Box 21, Nahariya 2210001, Israel; Azrieli Faculty of Medicine, Bar Ilan University, 8 Henrietta Szold St., P.O Box 1589, Safed 1311502, IsraelChoanal atresia occurs in about 1 in 5000 births and is associated with other structural and genetic abnormalities. Choanal atresia is usually diagnosed postnatally due to respiratory distress, and rarely diagnosed antenatally. Here, a woman with severe polyhydramnios is described, whose fetus was diagnosed antenatally with isolated bilateral choanal atresia, as evident by persistent absence of flow through the nostrils on ultrasound. A literature review is presented of the antenatal findings of choanal atresia, using ultrasound and other imaging modalities. An association of choanal atresia with polyhydramnios should be considered. Examining flow through the fetal nose, using color Doppler, might aid in diagnosing choanal atresia. If this condition is suspected, a detailed ultrasound scan should be done to rule out other anomalies. Fetal magnetic resonance imaging has been suggested as an additional imaging tool in selected patients. Genetic counselling and invasive prenatal testing should be offered.http://www.sciencedirect.com/science/article/pii/S2214911224000031Choanal atresiaCHARGE syndromeColor Doppler ultrasoundPolyhydramniosCraniofacial malformations |
| spellingShingle | Inshirah Sgayer Lior Lowenstein Marwan Odeh Antenatal ultrasound findings in choanal atresia: A case report and review of the literature Case Reports in Women's Health Choanal atresia CHARGE syndrome Color Doppler ultrasound Polyhydramnios Craniofacial malformations |
| title | Antenatal ultrasound findings in choanal atresia: A case report and review of the literature |
| title_full | Antenatal ultrasound findings in choanal atresia: A case report and review of the literature |
| title_fullStr | Antenatal ultrasound findings in choanal atresia: A case report and review of the literature |
| title_full_unstemmed | Antenatal ultrasound findings in choanal atresia: A case report and review of the literature |
| title_short | Antenatal ultrasound findings in choanal atresia: A case report and review of the literature |
| title_sort | antenatal ultrasound findings in choanal atresia a case report and review of the literature |
| topic | Choanal atresia CHARGE syndrome Color Doppler ultrasound Polyhydramnios Craniofacial malformations |
| url | http://www.sciencedirect.com/science/article/pii/S2214911224000031 |
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