What is it about?
This study aimed to evaluate the outcomes of endoscopic repair of bilateral congenital choanal atresia utilising a mirrored L-shaped septonasal flap without stenting versus endoscopic repair using stenting and powered instrumentation (drilling) without a flap.
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Why is it important?
This is the largest prospective study comparing the outcomes of endoscopic repair of congenital bilateral choanal atresia using a flap technique without stenting versus endoscopic repair using stenting and powered instrumentation without a flap. Conventional and otological instrumentation are favoured to preserve the harvested flap as much as possible to cover the raw surface of the newly formed choana, in order to avoid post-operative granulation tissue and stenosis.
Perspectives
I hope that this paper decrease the incidence of the recurrence of bilateral congenital choanal atresia and decrease the suffering of the parents and neonates from the hazards of revision surgeries of such condition.
Mohamed Tomoum
Tanta University
Read the Original
This page is a summary of: Stentless mirrored L-shaped septonasal flap versus stented flapless technique for endoscopic endonasal repair of bilateral congenital choanal atresia: a prospective randomised controlled study, The Journal of Laryngology & Otology, January 2018, Cambridge University Press,
DOI: 10.1017/s0022215117002614.
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