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Choanal atresia

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Respiratory distress. Failure to pass NG tube.

Patient Data

Age: 4 days
Gender: Male
ct

There is narrowing of the choana bilaterally with mebranous obstruction and retention of secretions.  An NG tube has been inserted into the mouth.

Case Discussion

Choanal atresia can be unilateral or bilateral and may be secondary to bony or membranous obstruction.  Even where the atresia is caused by a membrane, the bony portion of the choana are usually narrowed.

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