title: Novel Application of Steroid Eluting Stents in Choanal Atresia Repair: A Case Series.
abstract: OBJECTIVE
  To describe the application of mometasone furoate eluting sinus stent technology in the treatment of choanal atresia (CA) in the hopes of preventing postsurgical stenosis.
  
  
  METHODS
  We analyzed 3 consecutive patients aged 4 days to 16 years undergoing repair of CA at a tertiary pediatric hospital. Mometasone furoate eluting sinus stents were placed intraoperatively. Postoperative need for revision surgery as well as routine surveillance endoscopy were used to determine success of surgery.
  
  
  RESULTS
  Three patients of varying age and etiology underwent successful repair of choanal atresia/stenosis. The steroid eluting sinus stent was deployed successfully in all 3 cases. There was no identifiable restenosis in any of the 3 patients with 12-month follow-up. There were no complications noted throughout the follow-up period.
  
  
  CONCLUSIONS
  Choanal atresia is a rare disorder that can prove difficult in postsurgical management. In our case series, mometasone furoate eluting stents were effective and safe for the management of this disease process. Further prospective studies are needed to determine the exact safety profile, long-term consequences, and efficacy of steroid eluting sinus stents in the pediatric population.
authors.affiliation: Detroit Medical Center Department of Otolaryngology-HNS, Detroit, Michigan, USA.|Children's Hospital of Michigan, Detroit, Michigan, USA.
authors.forename: John N
authors.initials: JN
authors.lastname: Bangiyev
authors.affiliation: University of Pittsburgh-Department of Otolaryngology, Pittsburgh, Pennsylvania, USA.
authors.forename: Nandini
authors.initials: N
authors.lastname: Govil
authors.affiliation: University of Tennessee Health Science Center- Department of Pediatric Otolaryngology, Memphis, Tennessee, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Sheyn
authors.affiliation: Children's Hospital of Michigan, Detroit, Michigan, USA.|MPENTA-Michigan Pediatric ENT associates, West Bloomfield, Michigan, USA.|Department of Pediatric Otolaryngology: Beaumont Children's Hospital, Royal Oak, Michigan, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Haupert
authors.affiliation: Children's Hospital of Michigan, Detroit, Michigan, USA pthottam@gmail.com.|MPENTA-Michigan Pediatric ENT associates, West Bloomfield, Michigan, USA.|Department of Pediatric Otolaryngology: Beaumont Children's Hospital, Royal Oak, Michigan, USA.
authors.forename: Prasad John
authors.initials: PJ
authors.lastname: Thottam
mesh_terms: D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D002675:Child, Preschool; D002754:Choanal Atresia / Q000628:therapy*; D054855:Drug-Eluting Stents; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D000068656:Mometasone Furoate / Q000008:administration & dosage*
chemical_list: D000893:Anti-Inflammatory Agents; D000068656:Mometasone Furoate
keywords: choanal atresia; endoscopic skull base surgery; nasal and sinus surgery; neonatal and pediatric airway disorders; novel techniques in pediatric otolaryngology; postoperative healing of nose; surgical outcomes; upper airway obstruction