Detail
Article
Online article
FT
Medvik - BMC
  • Something wrong with this record ?

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

I. Šebová, I. Vyrvová, J. Barkociová

. 2021 ; 57 (2) : . [pub] 20210121

Language English Country Switzerland

Document type Journal Article

Persistent link   https://www.medvik.cz/link/bmc21019422

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.

References provided by Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc21019422
003      
CZ-PrNML
005      
20210830100958.0
007      
ta
008      
210728s2021 sz f 000 0|eng||
009      
AR
024    7_
$a 10.3390/medicina57020093 $2 doi
035    __
$a (PubMed)33494264
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a sz
100    1_
$a Šebová, Irina $u Department of Pediatric Otorhinolaryngology, Faculty of Medicine, Comenius University and National Institute of Children's Diseases, 83101 Bratislava, Slovakia
245    10
$a Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia / $c I. Šebová, I. Vyrvová, J. Barkociová
520    9_
$a 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.
650    _2
$a dítě $7 D002648
650    12
$a choanální atrézie $x diagnostické zobrazování $x chirurgie $7 D002754
650    _2
$a endoskopie $7 D004724
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a lidé $7 D006801
650    _2
$a novorozenec $7 D007231
650    _2
$a mužské pohlaví $7 D008297
650    12
$a nosní dutina $x diagnostické zobrazování $7 D009296
650    _2
$a nos $7 D009666
650    _2
$a počítačová rentgenová tomografie $7 D014057
655    _2
$a časopisecké články $7 D016428
700    1_
$a Vyrvová, Ivana $u Department of Pediatric Otorhinolaryngology, Faculty of Medicine, Comenius University and National Institute of Children's Diseases, 83101 Bratislava, Slovakia $u Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic
700    1_
$a Barkociová, Jana $u Department of Pediatric Otorhinolaryngology, Faculty of Medicine, Comenius University and National Institute of Children's Diseases, 83101 Bratislava, Slovakia
773    0_
$w MED00180386 $t Medicina (Kaunas, Lithuania) $x 1648-9144 $g Roč. 57, č. 2 (2021)
856    41
$u https://pubmed.ncbi.nlm.nih.gov/33494264 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20210728 $b ABA008
991    __
$a 20210830100959 $b ABA008
999    __
$a ok $b bmc $g 1690278 $s 1139868
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 57 $c 2 $e 20210121 $i 1648-9144 $m Medicina $n Medicina (Kaunas) $x MED00180386
LZP    __
$a Pubmed-20210728
Back

Find record

Citation metrics

Archiving options