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The transnasal flexible laryngoesophagoscope as an adjunct during surgical correction of choanal atresia

Published online by Cambridge University Press:  21 August 2012

E J Fitzgerald O'Connor  and
J S Phillips
E J Fitzgerald O'Connor*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
J S Phillips
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
*
Address for correspondence: Mr Edmund J Fitzgerald O'Connor, CT1, Department of Otolaryngology, Head and Neck Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, Norfolk NR4 7UY, UK Fax: +44 (0)1603 286 770 E-mail: edmundfitz@doctors.org.uk
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Abstract

Introduction:

We report the first published description of transoral use of the transnasal flexible laryngoesophagoscope during surgical correction of choanal atresia.

Case report:

A four-month-old boy was referred to the ear, nose and throat department by his general practitioner with a two-week history of left-sided, watery, green, nasal discharge. A diagnosis of choanal atresia was made. The child underwent successful surgical correction which incorporated transoral use of a transnasal flexible laryngoesophagoscope.

Discussion:

When used transorally, the transnasal flexible laryngoesophagoscope's ability to provide omnidirectional visualisation together with high definition picture clarity significantly improves the operative field of view. This endoscope's incorporated suction and insufflation functions and its facility to pass extra instruments via the endoscope port are of particular advantage for this type of procedure.

Keywords

Choanal AtresiaEndoscopyInfant
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 11 , November 2012 , pp. 1179 - 1181
Copyright
Copyright © JLO (1984) Limited 2012

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