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Variant Anatomy and Its Terminology

Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia

Department of Pediatric Otorhinolaryngology, Faculty of Medicine, Comenius University and National Institute of Children’s Diseases, 83101 Bratislava, Slovakia
Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic
Author to whom correspondence should be addressed.
Medicina 2021, 57(2), 93;
Received: 31 December 2020 / Revised: 15 January 2021 / Accepted: 17 January 2021 / Published: 21 January 2021
(This article belongs to the Special Issue Variational Anatomy and Developmental Anomalies in Clinical Practice)
Background and Objectives: Choanal atresia is the most common congenital malformation of the nose. Materials and Methods: We have evaluated 24 CT images of children with choanal atresia treated at the Department of Pediatric Otorhinolaryngology FM CU and the NICD Bratislava (Slovakia). In accordance with the methodology used by Slovis et al. (1985), we have measured parameters related to anomalous development in the nasal cavity: vomer width, the width of soft atresia and the width of the air space of unilaterally developed choana. Results: In the group of 24 patients, 11 (46%) were male and 13 (54%) were female. The age of patients at the time of CT imaging varied. Associated syndromes had been manifested in 11 (46%) children, with 7 (29%) patients having CHARGE syndrome. In 13 (54%) cases it was a bone membranous type of atresia, in 8 (33%) cases a membranous type, and in 3 (13%) patients a bone type. Among the group of patients, unilateral disorder was present in 13 (54%) patients and bilateral in 11 (46%). Based on the Pearson’s correlation test, we have found in the studied group that the width of the vomer correlates with age, and the vomer is wider in bone atresia than in the membranous ones. Based on determining the average vomer’s width within the age groups 0–8 and >8–20, compared to the standard widths, we found that the vomer’s widths reached the upper limits of the standard ±2 SD (cm) or even exceeded that limit. The same applies to the width in soft choanal atresia. On the other hand, the width of the developed choana in the case of unilateral atresia is almost standard. Conclusions: The above findings are the basis for selecting the appropriate type of surgery. Currently, the gold standard is the endoscopic fenestration. associated with posterior septotomy. View Full-Text
Keywords: choanal atresia; CT imaging; measurement of parameters choanal atresia; CT imaging; measurement of parameters
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MDPI and ACS Style

Šebová, I.; Vyrvová, I.; Barkociová, J. Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia. Medicina 2021, 57, 93.

AMA Style

Šebová I, Vyrvová I, Barkociová J. Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia. Medicina. 2021; 57(2):93.

Chicago/Turabian Style

Šebová, Irina, Ivana Vyrvová, and Jana Barkociová. 2021. "Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia" Medicina 57, no. 2: 93.

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