title: [Transnasal endoscopic approach in choanal atresia].
abstract: OBJECTIVE
  The aim of surgery for choanal atresia is to remove the atretic plate completely and to assure long-term patency. We evaluated the effectiveness and results of endoscopic transnasal approach in the treatment of choanal atresia.
  
  
  METHODS
  The study included eight patients (1 male, 7 females; mean age 25.8 years; range 17 to 53 years) who were treated with endoscopic transnasal approach for choanal atresia. One patient had bilateral involvement. The diagnosis was based on findings of physical examination, endoscopic examination, and computed tomography. The follow-up period ranged from 10 months to four years.
  
  
  RESULTS
  Only one patient developed partial obstruction which was reconstructed with mushroom-head forceps at a subsequent operation. One patient died from primary disease (nasopharyngeal cancer). The remaining patients became symptom-free.
  
  
  CONCLUSIONS
  Endoscopic transnasal approach for the treatment of choanal atresia is a safe procedure, with a high success rate and low morbidity, enabling detailed evaluation of the anatomic structure.
authors.affiliation: Department of Otolaryngology, Tepecik Training Hospital, Izmir, Turkey. cukurova@turk.net
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Cukurova
authors.forename: M Doğan
authors.initials: MD
authors.lastname: Ozkul
authors.forename: Ejder
authors.initials: E
authors.lastname: Ciğer
authors.forename: Ilker Burak
authors.initials: IB
authors.lastname: Arslan
authors.forename: Süleyman
authors.initials: S
authors.lastname: Cesur
mesh_terms: D000293:Adolescent; D000328:Adult; D002754:Choanal Atresia / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D011859:Radiography; D016896:Treatment Outcome