The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Dayhes N.A.

National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency

Polunin M.M.

Morozovskaya Children’s City Clinical Hospital;
Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery

Asmanov A.I.

Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery

Breeva O.A.

Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery

Pivneva N.D.

Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery

Choanoplasty in children of the first year of life: new opportunities and rehabilitation without stents

Authors:

Dayhes N.A., Polunin M.M., Asmanov A.I., Breeva O.A., Pivneva N.D.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2024;89(2): 40‑45

DOI: 10.17116/otorino20248902140

Views: 620

Downloaded: 57

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Dayhes NA, Polunin MM, Asmanov AI, Breeva OA, Pivneva ND. Choanoplasty in children of the first year of life: new opportunities and rehabilitation without stents. Russian Bulletin of Otorhinolaryngology. 2024;89(2):40‑45. (In Russ.)
https://doi.org/10.17116/otorino20248902140

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
МСФ на ЯМ
Close metadata
Recommended articles:
Thoracoscopic tracheal rese­ction in a child under extracorporeal membrane oxygenation. Piro­gov Russian Journal of Surgery. 2024;(1):86-90
Obesity-associated asthma phenotype in children. Russian Journal of Preventive Medi­cine. 2024;(1):106-114
The high-intensity pulsed magnetic therapy in the medi­cal reha­bilitation of children. (Literature review). Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;(6):99-102
Lung pathology in children with a long-term novel coro­navirus infe­ction COVID-19. Russian Journal of Archive of Pathology. 2024;(1):36-43
Simu­ltaneous hernioplasty (PIRS) in pediatric lapa­roscopic appe­ndectomy. Endo­scopic Surgery. 2024;(1):55-59
Robot-assisted extravesical ureteral reimplantation for vesi­coureteral reflux. Endo­scopic Surgery. 2024;(1):60-66
The quality of dental care in children with permanent teeth trauma acco­rding to analysis of medi­cal reco­rds in an emergency unit of a muni­cipal dental clinic. Stomatology. 2024;(1):41-47
Application of narrow-band opti­cal radiation with a wave­length of 650 nm in complex treatment of children with deve­lopmental speech delay. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(1):5-12
The use of transcranial micropolarization in the acute period of severe traumatic brain injury in children. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(1):13-21
Historical aspe­cts of the formation and deve­lopment of children’s health resort medi­cine in the Samara region. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(1):62-69

The article presents literature and our own data on surgical treatment and options for solving the problem of restenosis for congenital choanal atresia in children under one year of age. A new stentless choanoplasty technique using fibrin glue for fixation of posterior septal flaps is presented. This method has patent No. 2789967 dated February 14, 2023.

OBJECTIVE

Evaluation of the effectiveness of the choanoplasty method using fibrin glue for fixation of flaps without the use of a stent in children of the first year of life with choanal atresia.

MATERIAL AND METHODS

For the period from 2019 to 2023, a team of authors in the Department of Otorhinolaryngology of the Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery operated on 34 patients under the age of one year with a diagnosis of choanal atresia using this choanoplasty technique.

RESULTS

The results of this new surgical technique using fibrin glue are presented. Endoscopy of the nasal cavity and choanal area in all 34 patients during follow-up (from 1 to 2 years) showed no signs of restenosis.

CONCLUSION

The proposed method of choanoplasty without the use of stents with fixation of mucosal flaps with fibrin glue has proven itself well and can be used in children at any age, can be one of the ways to solve the problem of restenosis and seems to us to be the method of choice in the treatment of choanal atresia.

Keywords:

choanal atresia
choanoplasty
children
restonosis
fibrin glue

Authors:

Dayhes N.A.

National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency

Polunin M.M.

Morozovskaya Children’s City Clinical Hospital;
Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery

Asmanov A.I.

Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery

Breeva O.A.

Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery

Pivneva N.D.

Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery

Received:

13.10.2023

Accepted:

13.02.2024

List of references:

  1. Zaitseva OV. Normalization of nasal breathing function in infants. New approaches. Lechashchij vrach. 2010;3:61. (In Russ.).
  2. Assanasen P, Metheetrairut C. Choanal atresia. Journal of the Medical Association of Thailand. 2009;92(5):699-706.  https://doi.org/10.1007/s11325-011-0556-3
  3. Brown OE, Pownell P, Manning SC. Choanal atresia: A new anatomic classification and clinical management applications. Laryngoscope. 1996;106:97-101.  https://doi.org/10.1097/00005537-199601000-00019
  4. Demikova NS. Monitoring of congenital malformations and its significance in the study of their epidemiology. Rossijskij vestnik perinatologii i pediatrii. 2003;4:13-17. (In Russ.).
  5. Strychowsky JE, Kawai K, Moritz E, Rahbar R, Adil EA. To stent or not to stent? A meta-analysis of endonasal congenital bilateral choanal atresia repair. Laryngoscope. 2016;126(1):218-227.  https://doi.org/10.1002/lary.25393
  6. Kotova EN, Bogomilskiy MR. CHARGE syndrome in children with congenital hoan atresia. Vestnik otorinolaringologii. 2022;87(3):7-12. (In Russ.). https://doi.org/10.17116/otorino2022870317
  7. Diab HM, Daikhes NA, Pashchinina OA, Kondratchikov DS, Dmitrieva TS. Cochlear implantation in CHARGE syndrome. Head and Neck/Golova i sheya. Rossijskij zhurnal. 2021;9(2):57-61. (In Russ.). https://doi.org/10.25792/HN.2021.9.2.57-61
  8. Koppen T, Bartmann D, Jakob M, Bootz F, Müller A, Dresbach T, Send T. Diagnostics and therapy of bilateral choanal atresia in association with CHARGE syndrome. Journal of Neonatal-Perinatal Medicine. 2021;14(1):67-74.  https://doi.org/10.3233/NPM-200450
  9. Anderhuber W, Stamberger H. Endoscopic surgery of uni- and bilateral choanal atresia. Auris Nasus Larynx. 1997;24(1):13-19.  https://doi.org/10.1016/s0385-8146(96)00041-7
  10. Kumar S, Gupta S, Naglot S, Sahni JK. Bilateral Choanal Atresia: Is it really a Surgical Emergency? Indian Journal of Otolaryngology and Head and Neck Surgery. 2013;65(2):205-209.  https://doi.org/10.1007/s12070-011-0304-9
  11. Feero WG, Guttmacher AE. Genomics, personalized medicine, and pediatrics. Academic Pediatrics. 2014;14(1):14-22.  https://doi.org/10.1016/j.acap.2013.06.008
  12. Temtame SA. Carpenter syndrome acrocephaiopolysyndoktylie. An autosomal recessive syndrome. Journal of Pediatrics. 1966; 69(1):111-120.  https://doi.org/10.1016/S0022-3476(66)80368-2
  13. Durmaz A, Tosun F, Yldrm N, Sahan M, Kvrakdal C, Gerek M. Transnasal endoscopic repair of choanal atresia: results of 13 cases and meta-analysis. Journal of Craniofacial Surgery. 2008;19(5):1270-1274. https://doi.org/10.1097/SCS.0b013e3181843564
  14. Eladl HM, Hafaghi YSh. Endoscopic bilateral treatment of congenital choanal atresia in 112 cases, evolving concept and technical experience. International Journal of Pediatric Otorhinolaryngology. 2016;85:405.  https://doi.org/10.1016/j.ijporl.2016.03.011
  15. Jones DJ, Vandjelovic ND, Gonik NJ. Novel use of a curved mastoid burr in the management of a difficult case of choanal atresia. Otolaryngology Case Reports. 2019;10;5-8.  https://doi.org/10.1016/j.xocr.2018.07.007
  16. Kotova EN, Vyaz’menov EO, Bogomil’skij MR. New ways to solve the problem of restenosis in the surgical treatment of congenital hoan atresia in children. Vestnik otorinolaringologii. 2020;85(1):45-47. (In Russ.). https://doi.org/10.17116/otorino20208501145
  17. Wolf A, Lang-Loidolt D, Koele W, Wolf G, Thurnher D, Stammberger H, Tomazic PV. Are stents beneficial in endoscopic choanal atresia repair of newborns and children? Case series of 11 patients. Clinical Otolaryngology. 2016;41:821-825.  https://doi.org/10.1111/coa.12566
  18. Hall BD. Choanal atresia and associated multiple anomalies. The Journal of Pediatrics. 1979;95(3):395-398.  https://doi.org/10.1016/S0022-3476(79)80513-2
  19. Asmanov AI, Pivneva ND, Polev GA, Degtyareva DV. Modern choanoplasty in children with congenital hoan atresia is rehabilitation without stents. Detskaya otorinolaringologiya. 2019;3:44-46. (In Russ.).
  20. Breeva OA, Asmanov AI, Bogomilsky MR. Sposob kleevoj fiksatsii septal’nykh loskutov slizistoj obolochki v khoane u patsientov pri khoanoplastike. Patent RF №RU 2789967 C1/14.02.2023. (In Russ.).

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.