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-...
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MDPI AG
2023-01-01
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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. |
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format | Article |
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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 |
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