Surgical Management of Choanal Atresia
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Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer International Publishing
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Death from asphyxia may occur in neonate babies due to complete nasal obstruction. The tongue is pulled towards the palate during inspiration, this results in occlusion of the oral airway. Strenuous attempts at breathing show marked chest retractions. If relevant attempts at treatment are not provided there is an increased risk of cyanosis, which may result in death. However if the newborn cries and breathes through its mouth the obstruction of the airway is temporarily alleviated. When the infant stops crying, the mouth will once again close and the sequence of oral obstruction is thus repeated. Choanal atresia is seen at an average of 0.82% for every 10, 000 births. Unilateral atresia is most commonly experienced on the right side. A ratio of 2:1 is observed in unilateral to bilateral cases with a slightly heightened risk in twin newborns. The mother’s age or parity does not raise the frequency of incidents. Six percent of newborns diagnosed with choanal atresia are noted to have chromosomal abnormalities, while it was found that 5% of the infants have monogenic syndromes or conditions. The most fundamental challenge and worry in a newborn afflicted with choanal atresia, especially bilateral choanal atresia, is that for between 4 and 6 weeks after birth newborns are obligatory nasal breathers. In this chapter, surgical management of choanal atresia is discussed. © Springer Nature Switzerland AG 2020.
Açıklama
Anahtar Kelimeler
Asphyxia; Bilateral; Choanal atresia; Surgery; Unilateral
Kaynak
All around the Nose: Basic Science, Diseases and Surgical Management
WoS Q Değeri
Scopus Q Değeri
N/A
