Syed Nusrat Raza, Tahir Ahmed, Asad Qayyum, Zubair Ahmed, Sunarays Akhtar, Asad Shabbir.
An experience with choanal atresia.
Pak Armed Forces Med J Jan ;55(1):88-92.

A 5 days old baby girl was referred as a case of bilateral choanal atresia. Soon after birth, the baby became blue and unable to breath. She was resuscitated at a hospital in Mirpur and then sent to CMH Rawalpindi with oral airway in mouth. At CMH Rawalpindi, she was admitted in the neonatal intensive care unit under supervision of pediatrician. Examination of child showed no airflow through the nares and even the smallest NG tube could not be passed through the nostrils. No other congenital abnormality could be found either by pediatrician or by otolaryngologist. The patient was given Oxygen inhalations and intravenous fluids. Antibiotics were started as the child was running fever. Relevant investigations like Blood Complete picture, urine routine examination, PT, PTTK, serum bilirubin were carried out and found normal. Arterial blood gases showed reduced P02. CT scan showed bilateral choanal atresia with thin bony atresia plate on both sides.

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