International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Diagnosis, pre-operative, operative and post-operative pediatric choanal atresia care

Eric Moreddu*, Mark Rizzi, Eelam Adil, Karthik Balakrishnan, Kenny Chan, Alan Cheng, Sam J. Daniel, Alessandro de Alarcon, Catherine Hart, Christopher Hartnick, Andrew Inglis, Nicolas Leboulanger, Seth Pransky, Reza Rahbar, John Russell, Mike Rutter, Douglas Sidell, Richard J.H. Smith, Marlene Soma, Jorge SpratleyDana Thompson, Marilena Trozzi, Robert Ward, Michelle Wyatt, Jeffrey Yeung, George Zalzal, Karen Zur, Richard Nicollas

*Corresponding author for this work

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish (US)
Pages (from-to)151-155
Number of pages5
JournalInternational journal of pediatric otorhinolaryngology
Volume123
DOIs
StatePublished - Aug 2019

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Keywords

  • Charge syndrome
  • Choanal atresia
  • Endoscopic sinus surgery
  • Nasal obstruction
  • Pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

Cite this

Moreddu, E., Rizzi, M., Adil, E., Balakrishnan, K., Chan, K., Cheng, A., Daniel, S. J., de Alarcon, A., Hart, C., Hartnick, C., Inglis, A., Leboulanger, N., Pransky, S., Rahbar, R., Russell, J., Rutter, M., Sidell, D., Smith, R. J. H., Soma, M., ... Nicollas, R. (2019). International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Diagnosis, pre-operative, operative and post-operative pediatric choanal atresia care. International journal of pediatric otorhinolaryngology, 123, 151-155. https://doi.org/10.1016/j.ijporl.2019.05.010