TY - JOUR
T1 - International Pediatric Otolaryngology Group (IPOG) consensus recommendations
T2 - Diagnosis, pre-operative, operative and post-operative pediatric choanal atresia care
AU - Moreddu, Eric
AU - Rizzi, Mark
AU - Adil, Eelam
AU - Balakrishnan, Karthik
AU - Chan, Kenny
AU - Cheng, Alan
AU - Daniel, Sam J.
AU - de Alarcon, Alessandro
AU - Hart, Catherine
AU - Hartnick, Christopher
AU - Inglis, Andrew
AU - Leboulanger, Nicolas
AU - Pransky, Seth
AU - Rahbar, Reza
AU - Russell, John
AU - Rutter, Mike
AU - Sidell, Douglas
AU - Smith, Richard J.H.
AU - Soma, Marlene
AU - Spratley, Jorge
AU - Thompson, Dana
AU - Trozzi, Marilena
AU - Ward, Robert
AU - Wyatt, Michelle
AU - Yeung, Jeffrey
AU - Zalzal, George
AU - Zur, Karen
AU - Nicollas, Richard
N1 - Publisher Copyright:
© 2019
PY - 2019/8
Y1 - 2019/8
N2 - Objective: To provide recommendations to otolaryngologists and allied physicians for the comprehensive management of young infants who present with signs or symptoms of choanal atresia. Methods: A two-iterative delphi method questionnaire was used to establish expert recommendations by the members of the International Otolaryngology Group (IPOG), on the diagnostic, intra-operative, post-operative and revision surgery considerations. Results: Twenty-eight members completed the survey, in 22 tertiary-care center departments representing 8 countries. The main consensual recommendations were: nasal endoscopy or fiberscopy and CT imaging are recommended for diagnosis; unilateral choanal atresia repair should be delayed after at least age 6 months whenever possible; transnasal endoscopic repair is the preferred technique; long term follow-up is recommended (minimum one year) using nasal nasofiberscopy or rigid endoscopy, without systematic imaging. Conclusion: Choanal atresia care consensus recommendations are aimed at improving patient-centered care in neonates, infants and children with choanal atresia.
AB - Objective: To provide recommendations to otolaryngologists and allied physicians for the comprehensive management of young infants who present with signs or symptoms of choanal atresia. Methods: A two-iterative delphi method questionnaire was used to establish expert recommendations by the members of the International Otolaryngology Group (IPOG), on the diagnostic, intra-operative, post-operative and revision surgery considerations. Results: Twenty-eight members completed the survey, in 22 tertiary-care center departments representing 8 countries. The main consensual recommendations were: nasal endoscopy or fiberscopy and CT imaging are recommended for diagnosis; unilateral choanal atresia repair should be delayed after at least age 6 months whenever possible; transnasal endoscopic repair is the preferred technique; long term follow-up is recommended (minimum one year) using nasal nasofiberscopy or rigid endoscopy, without systematic imaging. Conclusion: Choanal atresia care consensus recommendations are aimed at improving patient-centered care in neonates, infants and children with choanal atresia.
KW - Charge syndrome
KW - Choanal atresia
KW - Endoscopic sinus surgery
KW - Nasal obstruction
KW - Pediatric
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U2 - 10.1016/j.ijporl.2019.05.010
DO - 10.1016/j.ijporl.2019.05.010
M3 - Review article
C2 - 31103745
AN - SCOPUS:85065646919
VL - 123
SP - 151
EP - 155
JO - International Journal of Pediatric Otorhinolaryngology
JF - International Journal of Pediatric Otorhinolaryngology
SN - 0165-5876
ER -