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 - Copyright © 2019. Published by Elsevier B.V.
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 -