Intranasal Endoscopic Repair of Bilateral Choanal Atresia in a Male Newborn with Crouzon’s Syndrome

Bilateral choanal atresia is a rare developmental problem in which there is narrowing of the posterior nasal aperture. Commoner in female newborns, it is usually associated with respiratory distress and cyanosis. We present a 30hr old male child with respiratory distress and intermittent cyanosis at birth. On examination patency was not demonstrable in both nasal cavities on insertion of nasal catheter. Low-dose CT scan demonstrated bilateral choanal atresia. Patient had intranasal endoscopic repair of atresia and nasal stenting. Child was discharged after 4weeks and was followed up for 5months.