Discover the critical challenges and medical insights surrounding the rare case of bilateral congenital choanal atresia in a preterm neonate, a condition that transforms the first breaths into a neonatal emergency.
– by James
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Bilateral congenital choanal atresia in a preterm neonate – a rare neonatal emergency: A case report and review of literature.
Zaidi et al., Med J Armed Forces India 2024
DOI: 10.1016/j.mjafi.2021.09.011
What’s New: The authors report an unusual case of a very preterm neonate (born at 31 weeks) with bilateral congenital choanal atresia, emphasizing the need for early diagnosis to prevent life-threatening complications.
Importance: This case underscores the critical nature of congenital choanal atresia as a neonatal emergency, particularly in very preterm infants, and the necessity of a high index of suspicion for timely intervention.
Contribution to Literature: The case contributes to the existing literature by highlighting the challenges in diagnosing and managing congenital choanal atresia in very preterm neonates, as evidenced by the repeated failure of extubation attempts in this infant. The successful transnasal endoscopic repair at eight weeks of life illustrates a management approach for such critical cases.