Nasal Cavity CT Imaging Contribution to the Diagnosis and
Treatment of Choanal Atresia

J 2021

Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia

SEBOVA, Irina, Ivana VYRVOVÁ a Jana BARKOCIOVA

Základní údaje

Originální název

Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia

Autoři

SEBOVA, Irina (703 Slovensko, garant), Ivana VYRVOVÁ (703 Slovensko, domácí) a Jana BARKOCIOVA (703 Slovensko)

Vydání

Medicina-Lithuania, Basel, MDPI, 2021, 1010-660X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.948

Kód RIV

RIV/00216224:14110/21:00121099

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.3390/medicina57020093

UT WoS

000622725300001

Klíčová slova anglicky

choanal atresia; CT imaging; measurement of parameters

Štítky

14110319, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 15. 6. 2021 07:56, Mgr. Tereza Miškechová

Anotace

V originále

Background and Objectives: Choanal atresia is the most common congenital malformation of the nose. Materials and Methods: We have evaluated 24 CT images of children with choanal atresia treated at the Department of Pediatric Otorhinolaryngology FM CU and the NICD Bratislava (Slovakia). In accordance with the methodology used by Slovis et al. (1985), we have measured parameters related to anomalous development in the nasal cavity: vomer width, the width of soft atresia and the width of the air space of unilaterally developed choana. Results: In the group of 24 patients, 11 (46%) were male and 13 (54%) were female. The age of patients at the time of CT imaging varied. Associated syndromes had been manifested in 11 (46%) children, with 7 (29%) patients having CHARGE syndrome. In 13 (54%) cases it was a bone membranous type of atresia, in 8 (33%) cases a membranous type, and in 3 (13%) patients a bone type. Among the group of patients, unilateral disorder was present in 13 (54%) patients and bilateral in 11 (46%). Based on the Pearson's correlation test, we have found in the studied group that the width of the vomer correlates with age, and the vomer is wider in bone atresia than in the membranous ones. Based on determining the average vomer's width within the age groups 0-8 and >8-20, compared to the standard widths, we found that the vomer's widths reached the upper limits of the standard +/- 2 SD (cm) or even exceeded that limit. The same applies to the width in soft choanal atresia. On the other hand, the width of the developed choana in the case of unilateral atresia is almost standard. Conclusions: The above findings are the basis for selecting the appropriate type of surgery. Currently, the gold standard is the endoscopic fenestration. associated with posterior septotomy.

Citovat

SEBOVA, Irina, Ivana VYRVOVÁ a Jana BARKOCIOVA. Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia. Medicina-Lithuania. Basel: MDPI, 2021, roč. 57, č. 2, s. 1-10. ISSN 1010-660X. Dostupné z: https://dx.doi.org/10.3390/medicina57020093.

@article{1738516,
   author = {Sebova, Irina and Vyrvová, Ivana and Barkociova, Jana},
   article_location = {Basel},
   article_number = {2},
   doi = {http://dx.doi.org/10.3390/medicina57020093},
   keywords = {choanal atresia; CT imaging; measurement of parameters},
   language = {eng},
   issn = {1010-660X},
   journal = {Medicina-Lithuania},
   title = {Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia},
   url = {https://www.mdpi.com/1648-9144/57/2/93},
   volume = {57},
   year = {2021}
}

TY  - JOUR
ID  - 1738516
AU  - Sebova, Irina - Vyrvová, Ivana - Barkociova, Jana
PY  - 2021
TI  - Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia
JF  - Medicina-Lithuania
VL  - 57
IS  - 2
SP  - 1-10
EP  - 1-10
PB  - MDPI
SN  - 1010660X
KW  - choanal atresia
KW  - CT imaging
KW  - measurement of parameters
UR  - https://www.mdpi.com/1648-9144/57/2/93
N2  - Background and Objectives: Choanal atresia is the most common congenital malformation of the nose. Materials and Methods: We have evaluated 24 CT images of children with choanal atresia treated at the Department of Pediatric Otorhinolaryngology FM CU and the NICD Bratislava (Slovakia). In accordance with the methodology used by Slovis et al. (1985), we have measured parameters related to anomalous development in the nasal cavity: vomer width, the width of soft atresia and the width of the air space of unilaterally developed choana. Results: In the group of 24 patients, 11 (46%) were male and 13 (54%) were female. The age of patients at the time of CT imaging varied. Associated syndromes had been manifested in 11 (46%) children, with 7 (29%) patients having CHARGE syndrome. In 13 (54%) cases it was a bone membranous type of atresia, in 8 (33%) cases a membranous type, and in 3 (13%) patients a bone type. Among the group of patients, unilateral disorder was present in 13 (54%) patients and bilateral in 11 (46%). Based on the Pearson's correlation test, we have found in the studied group that the width of the vomer correlates with age, and the vomer is wider in bone atresia than in the membranous ones. Based on determining the average vomer's width within the age groups 0-8 and >8-20, compared to the standard widths, we found that the vomer's widths reached the upper limits of the standard +/- 2 SD (cm) or even exceeded that limit. The same applies to the width in soft choanal atresia. On the other hand, the width of the developed choana in the case of unilateral atresia is almost standard. Conclusions: The above findings are the basis for selecting the appropriate type of surgery. Currently, the gold standard is the endoscopic fenestration. associated with posterior septotomy.
ER  -

SEBOVA, Irina, Ivana VYRVOVÁ a Jana BARKOCIOVA. Nasal Cavity CT Imaging Contribution to the Diagnosis and Treatment of Choanal Atresia. \textit{Medicina-Lithuania}. Basel: MDPI, 2021, roč.~57, č.~2, s.~1-10. ISSN~1010-660X. Dostupné z: https://dx.doi.org/10.3390/medicina57020093.

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