Case Report

A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient

Volume: 3 Number: 1 April 1, 2020
European Journal of Rhinology and Allergy Cover
European Journal of Rhinology and Allergy
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A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient

Abstract

Posterior choanal atresia is rare but is the most common congenital malformation of the nasal cavity. It is characterized by a completely closed choana. Generally, this malformation is observed in newborns as increased respiratory distress during feeding, cyanotic attacks, and relaxation with crying. In contrast to unilateral atresia, bilateral disease is a life threatening condition and is extremely rare in adults. Herein, we presented a case of bilateral membranous choanal atresia detected in an 18-year-old patient. An 18-year-old female patient was admitted to our clinic after complaining of nasal obstruction, nasal discharge, snoring, anosmia, and mouth breathing since she was a child. On endoscopic examination, a right-deviated nasal septum and bilaterally closed choanae were observed. Membranous bilateral choanal atresia was observed on computed tomography (CT). The patient underwent transnasal endoscopic surgery under general anesthesia. Both septoplasty and bilateral coanoplasty surgeries were performed. No complications were observed postoperatively or at one year of follow up. Bilateral choanal atresia is a rare anomaly in adults. The diagnosis can easily be made by endoscopic examination or CT. The transnasal endoscopic surgical technique is an easy, reliable, and effective treatment method.

Keywords

References

  1. Anajar S, Hassnaoui J, Rouadi S, Abada R, Roubal M, Mahtar M. A rare case report of bilateral choanal atresia in an adult. Int J Surg Case Rep 2017; 37: 127-9.
  2. Bakır S, Ozbay M, Kınış V, Gün R, Yorgancılar E. Bilateral choanal atresia in adults. Kulak Burun Bogaz Ihtis Derg 2014; 24: 114-7.
  3. Aksoy F, Demirhan H, Yildirim YS, Ozturan O. Bilateral choanal atresia in an adult - management with mitomycin C and without stents: A case report. Cases J 2009; 2: 9307.
  4. Tatar EÇ, Ozdek A, Akcan F, Korkmaz H. Bilateral congenital choanal atresia encountered in late adulthood. J Laryngol Otol 2012; 126: 949-51.
  5. Verma RK, Lokesh P, Panda NK. Congenital bilateral adult choanal atresia undiagnosed until the second decade: How we did it. Allergy Rhinol 2016; 7: 82-3.
  6. Ferguson CF, Flake CG. Subglottic hemangioma as a cause of respiratory obstruction in infants. Ann Otol Rhino Laryngol 1961; 70: 1095-112.
  7. Kurosaka H, Wang Q, Sandell L, Yamashiro T, Trainor PA. Rdh10 loss-of-function and perturbed retinoid signaling underlies the etiology of choanal atresia. Hum Mol Genet 2017; 26: 1268-79.
  8. Ramsden JD, Campisi P, Forte V. Choanal atresia and choanal stenosis. Otolaryngol Clin North Am 2009; 42: 339-52.

Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Case Report

Authors

Publication Date

April 1, 2020

Submission Date

July 20, 2019

Acceptance Date

December 6, 2019

Published in Issue

Year 2020 Volume: 3 Number: 1

DOI

https://doi.org/10.5152/ejra.2020.179

IZ

https://izlik.org/JA89PT93SR

Cite

RIS / Bibtex
APA
Kars, A., Bingöl, F., & Atalay, F. (2020). A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient. European Journal of Rhinology and Allergy, 3(1), 26-28. https://doi.org/10.5152/ejra.2020.179
AMA
1.Kars A, Bingöl F, Atalay F. A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient. Eur J Rhinol Allergy. 2020;3(1):26-28. doi:10.5152/ejra.2020.179
Chicago
Kars, Ayhan, Fatih Bingöl, and Fatma Atalay. 2020. “A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient”. European Journal of Rhinology and Allergy 3 (1): 26-28. https://doi.org/10.5152/ejra.2020.179.
EndNote
Kars A, Bingöl F, Atalay F (April 1, 2020) A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient. European Journal of Rhinology and Allergy 3 1 26–28.
IEEE
[1]A. Kars, F. Bingöl, and F. Atalay, “A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient”, Eur J Rhinol Allergy, vol. 3, no. 1, pp. 26–28, Apr. 2020, doi: 10.5152/ejra.2020.179.
ISNAD
Kars, Ayhan - Bingöl, Fatih - Atalay, Fatma. “A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient”. European Journal of Rhinology and Allergy 3/1 (April 1, 2020): 26-28. https://doi.org/10.5152/ejra.2020.179.
JAMA
1.Kars A, Bingöl F, Atalay F. A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient. Eur J Rhinol Allergy. 2020;3:26–28.
MLA
Kars, Ayhan, et al. “A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient”. European Journal of Rhinology and Allergy, vol. 3, no. 1, Apr. 2020, pp. 26-28, doi:10.5152/ejra.2020.179.
Vancouver
1.Ayhan Kars, Fatih Bingöl, Fatma Atalay. A Rare Case Report: Bilateral Choanal Atresia in an Adult Patient. Eur J Rhinol Allergy. 2020 Apr. 1;3(1):26-8. doi:10.5152/ejra.2020.179

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