J 2021

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

SEBOVA, Irina, Ivana VYRVOVÁ and Jana BARKOCIOVA

Basic information

Original name

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

Authors

SEBOVA, Irina (703 Slovakia, guarantor), Ivana VYRVOVÁ (703 Slovakia, belonging to the institution) and Jana BARKOCIOVA (703 Slovakia)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30218 General and internal medicine

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.948

RIV identification code

RIV/00216224:14110/21:00121099

Organization unit

Faculty of Medicine

DOI

UT WoS

000622725300001

Keywords in English

choanal atresia; CT imaging; measurement of parameters

Tags

Tags

International impact, Reviewed
Změněno: 15/6/2021 07:56, Mgr. Tereza Miškechová

Abstract

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.