Management of Choanal Atresia: National Recommendations with a Comprehensive Literature Review

Choanal atresia is the most common congenital anatomical abnormality of the nasal cavities, manifested with a clinical picture of neonatal respiratory distress. The treatment requires interdisciplinary management based mainly on tertiary referral centre experiences. However, there is a lack of high-...

Full description

Bibliographic Details
Main Authors: Jure Urbančič, Domen Vozel, Saba Battelino, Imre Boršoš, Lev Bregant, Matic Glavan, Črtomir Iglič, Klemen Jenko, Boštjan Lanišnik, Tanja Soklič Košak
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/1/91
_version_ 1797444304184016896
author Jure Urbančič
Domen Vozel
Saba Battelino
Imre Boršoš
Lev Bregant
Matic Glavan
Črtomir Iglič
Klemen Jenko
Boštjan Lanišnik
Tanja Soklič Košak
author_facet Jure Urbančič
Domen Vozel
Saba Battelino
Imre Boršoš
Lev Bregant
Matic Glavan
Črtomir Iglič
Klemen Jenko
Boštjan Lanišnik
Tanja Soklič Košak
author_sort Jure Urbančič
collection DOAJ
description Choanal atresia is the most common congenital anatomical abnormality of the nasal cavities, manifested with a clinical picture of neonatal respiratory distress. The treatment requires interdisciplinary management based mainly on tertiary referral centre experiences. However, there is a lack of high-quality evidence in the available literature. Recommendations were prepared based on a systematic review of the supporting literature: on a website survey addressed to the participating authors consisting of 28 questions and on five live meetings. The initial response to the recommendations was determined at their presentation at the sectional meeting of the section for otorhinolaryngology of the Slovenian Medical Association. Then, reactions from the professional public were accepted until the recommendations were presented at the Expert Council for Otorhinolaryngology of the Slovenian Medical Association. A systematic literature review identified eight systematic reviews or meta-analyses and four randomized controlled clinical trials. Thirty-four recommendations for diagnosis, treatment and postoperative management were consolidated. The paper presents the proposal and first Slovenian recommendations for treating patients with choanal atresia. They are based on foreign medical institutions’ published literature and our clinical experience. They represent the basic requirements of diagnostics and may represent an essential guide in treatment.
first_indexed 2024-03-09T13:09:40Z
format Article
id doaj.art-7727233315964a0993de144458aed347
institution Directory Open Access Journal
issn 2227-9067
language English
last_indexed 2024-03-09T13:09:40Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series Children
spelling doaj.art-7727233315964a0993de144458aed3472023-11-30T21:43:38ZengMDPI AGChildren2227-90672023-01-011019110.3390/children10010091Management of Choanal Atresia: National Recommendations with a Comprehensive Literature ReviewJure Urbančič0Domen Vozel1Saba Battelino2Imre Boršoš3Lev Bregant4Matic Glavan5Črtomir Iglič6Klemen Jenko7Boštjan Lanišnik8Tanja Soklič Košak9Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, SloveniaDepartment of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, SloveniaDepartment of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, SloveniaDepartment of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, SloveniaDivision of Obstetrics and Gynecology, Department of Perinatology, Neonatal Intensive Care Unit, University Medical Center Ljubljana, 1000 Ljubljana, SloveniaDepartment of Otorhinolaryngology, Cervical and Maxillofacial Surgery, University Medical Centre Maribor, 2000 Maribor, SloveniaDepartment of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, SloveniaDepartment of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, SloveniaDepartment of Otorhinolaryngology, Cervical and Maxillofacial Surgery, University Medical Centre Maribor, 2000 Maribor, SloveniaDepartment of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, SloveniaChoanal atresia is the most common congenital anatomical abnormality of the nasal cavities, manifested with a clinical picture of neonatal respiratory distress. The treatment requires interdisciplinary management based mainly on tertiary referral centre experiences. However, there is a lack of high-quality evidence in the available literature. Recommendations were prepared based on a systematic review of the supporting literature: on a website survey addressed to the participating authors consisting of 28 questions and on five live meetings. The initial response to the recommendations was determined at their presentation at the sectional meeting of the section for otorhinolaryngology of the Slovenian Medical Association. Then, reactions from the professional public were accepted until the recommendations were presented at the Expert Council for Otorhinolaryngology of the Slovenian Medical Association. A systematic literature review identified eight systematic reviews or meta-analyses and four randomized controlled clinical trials. Thirty-four recommendations for diagnosis, treatment and postoperative management were consolidated. The paper presents the proposal and first Slovenian recommendations for treating patients with choanal atresia. They are based on foreign medical institutions’ published literature and our clinical experience. They represent the basic requirements of diagnostics and may represent an essential guide in treatment.https://www.mdpi.com/2227-9067/10/1/91nasopharynxcraniofacial abnormalitiesinfantchoanal atresiacharge syndrome
spellingShingle Jure Urbančič
Domen Vozel
Saba Battelino
Imre Boršoš
Lev Bregant
Matic Glavan
Črtomir Iglič
Klemen Jenko
Boštjan Lanišnik
Tanja Soklič Košak
Management of Choanal Atresia: National Recommendations with a Comprehensive Literature Review
Children
nasopharynx
craniofacial abnormalities
infant
choanal atresia
charge syndrome
title Management of Choanal Atresia: National Recommendations with a Comprehensive Literature Review
title_full Management of Choanal Atresia: National Recommendations with a Comprehensive Literature Review
title_fullStr Management of Choanal Atresia: National Recommendations with a Comprehensive Literature Review
title_full_unstemmed Management of Choanal Atresia: National Recommendations with a Comprehensive Literature Review
title_short Management of Choanal Atresia: National Recommendations with a Comprehensive Literature Review
title_sort management of choanal atresia national recommendations with a comprehensive literature review
topic nasopharynx
craniofacial abnormalities
infant
choanal atresia
charge syndrome
url https://www.mdpi.com/2227-9067/10/1/91
work_keys_str_mv AT jureurbancic managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview
AT domenvozel managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview
AT sababattelino managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview
AT imreborsos managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview
AT levbregant managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview
AT maticglavan managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview
AT crtomiriglic managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview
AT klemenjenko managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview
AT bostjanlanisnik managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview
AT tanjasoklickosak managementofchoanalatresianationalrecommendationswithacomprehensiveliteraturereview