Presentation
Respiratory distress in a neonate with cyanosis.
Patient Data
Age: Neonate
From the case:
Choanal atresia
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The posterior nasal passage is narrowed and mucosa completely occludes it bilaterally.
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Soft tissue completely occludes both nasal passages (red arrows) with an air fluid level seen on the left.
Case Discussion
Choanal atresia may be unilateral or bilateral. In this case, there is bony narrowing with mucosal obstruction of the choana bilaterally causing respiratory distress and requiring intubation and ventilation.
The patient proceeded to surgery and made an uncomplicated recovery.
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