Choanal Atresia Repair With Stents and Flaps: A Systematic Review Article
Background Choanal Atresia is an obliteration by an atretic plate of the posterior choanae due to a failure of the bucconasal membrane to rupture. The insertion of stents post choanal atresia repair is familiar. Still, there are limited studies in the literature that specify the time to remove it, t...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-12-01
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| Series: | Allergy & Rhinology |
| Online Access: | https://doi.org/10.1177/21526567211058052 |
| _version_ | 1819099240016642048 |
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| author | Hemail M. Alsubaie MD Wedyan H. Almosa MD Ali S Al-Qahtani FKSU, FACS, FISQua Osama Margalani MD, FRCSC |
| author_facet | Hemail M. Alsubaie MD Wedyan H. Almosa MD Ali S Al-Qahtani FKSU, FACS, FISQua Osama Margalani MD, FRCSC |
| author_sort | Hemail M. Alsubaie MD |
| collection | DOAJ |
| description | Background Choanal Atresia is an obliteration by an atretic plate of the posterior choanae due to a failure of the bucconasal membrane to rupture. The insertion of stents post choanal atresia repair is familiar. Still, there are limited studies in the literature that specify the time to remove it, the best materials, and the effectiveness of each kind. Objective Our study aims to compare different types of choanal atresia stents and flaps and the outcome of different kinds of stents and flaps that use post-operatively. Also, to assess the risk of restenosis post-operatively with varying types of Stent and flaps. Methods A systematic review via databases for different types of stents and flaps used in choanal atresia, including 31 studies with precise technique, variety of stents, restenosis rates, and risk factors (unilaterality, the component of the atretic plate). And about 10 different approaches to flaps reconstruction were mentioned. Results According to the data, we observed a successful rate of choanal atresia repair by using the ordinary ETT post-operatively ranged from 28 to 94.2%, which could be explained due to many factors. Post-operative Instructions on care and suctioning provided a good impact. Other types of stents found in case series like steroid eluting stents, Nelaton catheters, Silastic stents, or modified ETT have a promising future during 26 to 39 weeks follow-up. Still, they need further studies with randomization and more data. Flaps with different approaches and techniques showed promising results and fewer complication rates with or without stents, also now have been used in practice providing suitable alternatives for stents. Conclusion The original types of choanal atresia stents were shown to have a wide variety of results, while innovative materials of stents showed promising results, however, in relatively small case studies. Flaps were now used in practice giving other choices for stents with fewer complications, better healing, and new choana formation. |
| first_indexed | 2024-12-22T00:43:44Z |
| format | Article |
| id | doaj.art-51ad4a5007024eaa96d4073560d7135b |
| institution | Directory Open Access Journal |
| issn | 2152-6567 |
| language | English |
| last_indexed | 2024-12-22T00:43:44Z |
| publishDate | 2021-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Allergy & Rhinology |
| spelling | doaj.art-51ad4a5007024eaa96d4073560d7135b2022-12-21T18:44:36ZengSAGE PublishingAllergy & Rhinology2152-65672021-12-011210.1177/21526567211058052Choanal Atresia Repair With Stents and Flaps: A Systematic Review ArticleHemail M. Alsubaie MD0Wedyan H. Almosa MD1Ali S Al-Qahtani FKSU, FACS, FISQua2Osama Margalani MD, FRCSC3 , Makkah, Saudi Arabia , Saudi Arabia , , Abha, Saudi Arabia , , Makkah, Saudi ArabiaBackground Choanal Atresia is an obliteration by an atretic plate of the posterior choanae due to a failure of the bucconasal membrane to rupture. The insertion of stents post choanal atresia repair is familiar. Still, there are limited studies in the literature that specify the time to remove it, the best materials, and the effectiveness of each kind. Objective Our study aims to compare different types of choanal atresia stents and flaps and the outcome of different kinds of stents and flaps that use post-operatively. Also, to assess the risk of restenosis post-operatively with varying types of Stent and flaps. Methods A systematic review via databases for different types of stents and flaps used in choanal atresia, including 31 studies with precise technique, variety of stents, restenosis rates, and risk factors (unilaterality, the component of the atretic plate). And about 10 different approaches to flaps reconstruction were mentioned. Results According to the data, we observed a successful rate of choanal atresia repair by using the ordinary ETT post-operatively ranged from 28 to 94.2%, which could be explained due to many factors. Post-operative Instructions on care and suctioning provided a good impact. Other types of stents found in case series like steroid eluting stents, Nelaton catheters, Silastic stents, or modified ETT have a promising future during 26 to 39 weeks follow-up. Still, they need further studies with randomization and more data. Flaps with different approaches and techniques showed promising results and fewer complication rates with or without stents, also now have been used in practice providing suitable alternatives for stents. Conclusion The original types of choanal atresia stents were shown to have a wide variety of results, while innovative materials of stents showed promising results, however, in relatively small case studies. Flaps were now used in practice giving other choices for stents with fewer complications, better healing, and new choana formation.https://doi.org/10.1177/21526567211058052 |
| spellingShingle | Hemail M. Alsubaie MD Wedyan H. Almosa MD Ali S Al-Qahtani FKSU, FACS, FISQua Osama Margalani MD, FRCSC Choanal Atresia Repair With Stents and Flaps: A Systematic Review Article Allergy & Rhinology |
| title | Choanal Atresia Repair With Stents and Flaps: A Systematic Review Article |
| title_full | Choanal Atresia Repair With Stents and Flaps: A Systematic Review Article |
| title_fullStr | Choanal Atresia Repair With Stents and Flaps: A Systematic Review Article |
| title_full_unstemmed | Choanal Atresia Repair With Stents and Flaps: A Systematic Review Article |
| title_short | Choanal Atresia Repair With Stents and Flaps: A Systematic Review Article |
| title_sort | choanal atresia repair with stents and flaps a systematic review article |
| url | https://doi.org/10.1177/21526567211058052 |
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