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

Research output: Contribution to journalReview articlepeer-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 languageEnglish
Pages (from-to)151-155
Number of pages5
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume123
DOIs
Publication statusE-pub ahead of print - May 13 2019

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