Choanal Atresia: Birth Without Breath

  • Vikas Sinha
  • Samanth Talagauara Umesh
  • Sushil G. Jha
  • Swati Dadhich
Original Article


Bilateral Choanal atresia is a medical emergency. Corrective surgery is the mainstay of the treatment. Hegar’s dilator was used in all cases to break the bony/membranous atretic plate. The 22 cases of choanal atresia all operated by the first author were included in this study. Eight cases were 1–5 year old with bilateral choanal atresia and all required immediate surgery as they had repeated attacks of respiratory distress and cycle of cyanosis. Eight cases were of CHARGE Syndrome. All the cases were operated under general anaesthesia. Hegar’s dilators were used and nasal stents were placed in all cases. Although complete nasal patency was achieved by surgery, in 8 cases, neonates could not survive due to the CHARGE Syndrome. The mortality was unrelated to the surgery. The 14 cases which were not related to CHARGE Syndroma had a good postoperative recovery. 3 cases were above 15 years old with unilateral complete bony/membranous choanal atresia and they presented with continuos nasal discharge. Hegar’s dilators are a safe and simple method of surgery for choanal atresia. Nasal stenting is mandatory to prevent restenosis.


Choanal atresia Hegar’s dilator Atretic plate CHARGE syndrome 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Association of Otolaryngologists of India 2017

Authors and Affiliations

  • Vikas Sinha
    • 1
  • Samanth Talagauara Umesh
    • 2
  • Sushil G. Jha
    • 2
  • Swati Dadhich
    • 2
  1. 1.Sir T. General Hospital, Government Medical College, BhavnagarBhavnagarIndia
  2. 2.Department of ENTGovernment Medical CollegeBhavnagarIndia

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