Evaluation of the factors affecting the necessity for revision surgery in choanal atresia

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dc.authoridMustafa Caner Kesimli / 0000-0003-1675-0394en_US
dc.authorscopusidMustafa Caner Kesimli / 56125668000en_US
dc.authorwosidMustafa Caner Kesimli / AAX-8405-2020
dc.contributor.authorAydemir, Levent
dc.contributor.authorSen, Comert
dc.contributor.authorKara, Hakan
dc.contributor.authorPamuk, Saim
dc.contributor.authorKesimli, Mustafa Caner
dc.date.accessioned2021-10-07T07:22:11Z
dc.date.available2021-10-07T07:22:11Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Sağlık Hizmetleri Meslek Yüksekokulu, Ağız Ve Diş Sağlığı Bölümüen_US
dc.description.abstractObjective: This study aims to compare the effects of different surgical techniques for congenital choanal atresia (CCA), and particular emphasis is given to the analysis of the factors affecting the surgical outcome. The necessity for revision surgery and surgical outcomes were retrospectively investigated in patients undergoing revision surgery according to a recently proposed classification system. Material and method: A retrospective study was conducted on patients operated for CCA between January 2007 and December 2018 at a university hospital. Data in the medical records, including patient age when the initial surgery was performed, gender, additional anomalies and medical conditions, the duration of gestation, side and type of atresia, type of surgery and need for revision surgery were reviewed. Results: Forty-five patients treated for CCA in our university hospital were screened. The mean follow-up duration was 82.16 months. Revision surgery was required in 9 of 26 cases, which are included in the study (34.6%). Fourteen patients presented with bilateral CCA, while 12 were unilateral cases. Sixteen patients (61.5%) had comorbid medical conditions. While the removal of vomer and mucoperiosteal flap use affects successful surgical repair, no differences were observed in choanal atresia type, laterality, use of stent and the presence of additional medical conditions. Conclusion: The most important factors affecting surgical success for CCA are the removal of the vomer and closure of all bare bone tissues using a mucoperiosteal flap. Use of stents provides no additional benefit, apart from preventing synechiae formationen_US
dc.identifier.citationAydemir, L., Sen, C., Kara, H., Pamuk, S., Kesimli, M. C., Comoglu, S., & Keles Turel, M. N. (2021). Evaluation of the factors affecting the necessity for revision surgery in choanal atresia. International Journal of Pediatric Otorhinolaryngology, 151. https://doi.org/10.1016/j.ijporl.2021.110929en_US
dc.identifier.doi10.1016/j.ijporl.2021.110929en_US
dc.identifier.endpage5en_US
dc.identifier.issn0165-5876en_US
dc.identifier.pmid34600192en_US
dc.identifier.scopus2-s2.0-85115958849en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijporl.2021.110929
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2126
dc.identifier.volume151en_US
dc.identifier.wosWOS:000711540000010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKesimli, Mustafa Caner
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofInternational Journal of Pediatric Otorhinolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChoanal Atresiaen_US
dc.subjectEndoscopic Surgical Procedureen_US
dc.subjectNasal Obstructionen_US
dc.subjectReoperationen_US
dc.subjectTransnasal Endoscopic Surgeryen_US
dc.titleEvaluation of the factors affecting the necessity for revision surgery in choanal atresiaen_US
dc.typeArticleen_US

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