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 Spratley; Dana Thompson; Marilena Trozzi; Robert Ward; Michelle Wyatt; Jeffrey Yeung; George Zalzal; Karen Zur; Richard Nicollas

doi:10.1016/j.ijporl.2019.05.010

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

Ospedale Pediatrico Bambino Gesu

Research output: Contribution to journal › Review article › peer-review

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 language	English
Pages (from-to)	151-155
Number of pages	5
Journal	International Journal of Pediatric Otorhinolaryngology
Volume	123
DOIs	https://doi.org/10.1016/j.ijporl.2019.05.010
Publication status	E-pub ahead of print - May 13 2019

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10.1016/j.ijporl.2019.05.010

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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

International Pediatric Otolaryngology Group (IPOG) consensus recommendations : Diagnosis, pre-operative, operative and post-operative pediatric choanal atresia care. / Moreddu, Eric; Rizzi, Mark; Adil, Eelam; Balakrishnan, Karthik; Chan, Kenny; Cheng, Alan; Daniel, Sam J; de Alarcon, Alessandro; Hart, Catherine; Hartnick, Christopher; Inglis, Andrew; Leboulanger, Nicolas; Pransky, Seth; Rahbar, Reza; Russell, John; Rutter, Mike; Sidell, Douglas; Smith, Richard J H; Soma, Marlene; Spratley, Jorge; Thompson, Dana; Trozzi, Marilena; Ward, Robert; Wyatt, Michelle; Yeung, Jeffrey; Zalzal, George; Zur, Karen; Nicollas, Richard.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 123, 13.05.2019, p. 151-155.

Research output: Contribution to journal › Review article › peer-review

Moreddu, E, Rizzi, M, Adil, E, Balakrishnan, K, Chan, K, Cheng, A, Daniel, SJ, de Alarcon, A, Hart, C, Hartnick, C, Inglis, A, Leboulanger, N, Pransky, S, Rahbar, R, Russell, J, Rutter, M, Sidell, D, Smith, RJH, Soma, M, Spratley, J, Thompson, D, Trozzi, M, Ward, R, Wyatt, M, Yeung, J, Zalzal, G, Zur, K & 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, vol. 123, pp. 151-155. https://doi.org/10.1016/j.ijporl.2019.05.010

Moreddu, Eric ; Rizzi, Mark ; Adil, Eelam ; Balakrishnan, Karthik ; Chan, Kenny ; Cheng, Alan ; Daniel, Sam J ; de Alarcon, Alessandro ; Hart, Catherine ; Hartnick, Christopher ; Inglis, Andrew ; Leboulanger, Nicolas ; Pransky, Seth ; Rahbar, Reza ; Russell, John ; Rutter, Mike ; Sidell, Douglas ; Smith, Richard J H ; Soma, Marlene ; Spratley, Jorge ; Thompson, Dana ; Trozzi, Marilena ; Ward, Robert ; Wyatt, Michelle ; Yeung, Jeffrey ; Zalzal, George ; Zur, Karen ; Nicollas, Richard. / International Pediatric Otolaryngology Group (IPOG) consensus recommendations : Diagnosis, pre-operative, operative and post-operative pediatric choanal atresia care. In: International Journal of Pediatric Otorhinolaryngology. 2019 ; Vol. 123. pp. 151-155.

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

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.",

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

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year = "2019",

month = may,

day = "13",

doi = "10.1016/j.ijporl.2019.05.010",

language = "English",

volume = "123",

pages = "151--155",

journal = "International Journal of Pediatric Otorhinolaryngology",

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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

PY - 2019/5/13

Y1 - 2019/5/13

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.

U2 - 10.1016/j.ijporl.2019.05.010

DO - 10.1016/j.ijporl.2019.05.010

M3 - Review article

C2 - 31103745

VL - 123

SP - 151

EP - 155

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

SN - 0165-5876

ER -

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

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