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Congenital Bilateral Choanal Atresia
ARTHUR J. CRACOVANER, M.D.;
MERRILL GOODMAN, M.D.
AMA Arch Otolaryngol. 1956;64(4):267-269.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Congenital choanal atresia, a rare condition in children, is characterized by closure of the posterior nares by a partition that may be membranous, membrano-osseous or osseous. The condition may be bilateral or unilateral. Until recent years a low index of suspicion permitted many of these cases to escape detection. Improved diagnostic techniques should save many of these infants who formerly would have been labelled asphyxia neonatorum.
Embryology
When fusion of the maxillary and nasal processes converts the primary nasal grooves into blind sacs, there remains only one opening at the external nares. At its deep end the olfactory sac is separated from the oral cavity by the bucconasal membrane, which thins and ruptures during the seventh week to form the primary choanae. As the palate and septum develop the nasal cavities are formed from the dorsal portion of the primitive mouth cavity, and the secondary permanent choanae open into the
. . . [Full Text PDF of this Article]
Author Affiliations
New York; New Hyde Park, N. Y.
From the Otolaryngological Service, New York Eye and Ear Infirmary.
Footnotes
Accepted for publication May 18, 1956.
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