title: Bilateral choanal atresia-Management with hegar's dilator.
abstract: Here we report a case of bilateral choanal atresia which is managed by transnasal perforation of atretic bony laminae using Hegar's uterine dilators The baby's airway is patent even after one yearAdvantages of using Hegar's dilator for correction of choanal atresia soon after birth are it is a blunt instrument, it's curvature fits with the curvature of the nasal cavity, dilators of increasing sizes are available, and as such injuries to the nasopharynx and surrounding areas are avoidedWe recommend this procedure as it is simple and effective in an emergency situation like bilateral choanal atresia Moreover this procedure is cheap when compared with other procedures.
authors.affiliation: Deptt of ENT, Medical College Kottavam, 686 008 Kerala.
authors.forename: Mathai
authors.initials: M
authors.lastname: John
authors.forename: Nair
authors.initials: N
authors.lastname: Prethapan