IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Posterior choanal atresia - bilateral

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

Neonatal respiratory distress and cyanosis with feeding

Patient Data

Age: 1 week
Gender: Female

Medial bowing of the posterior aspect of maxillary sinuses bilaterally with narrowing of the posterior choana (about 1.5 mm) and retention of mucus inside the nasal cavities denoting bilateral choanal atresia (osseous type). 

An endotracheal tube is noted.

Case Discussion

Bilateral choanal atresia is a life threatening condition until the patient underwent surgical intervention to maintain airway patency during mouth closure.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.