Congenital Unilateral Choanal Atresia with Adenoid Hypertrophy: A Case Report
Authors
Dr. Toral Mehta, Dr. Avni Patel, Dr. Shruti Ganvit, Dr. Vaishvi Hindia, Dr. Jay KothariFiles
Key Information
Journal
Published in Vol. 68 No. 2 (2026) of Bombay Hospital Journal.
Bombay Hospital Journal (BHJ) is a peer-reviewed quarterly published Print and Online journal. It is an official Journal of Bombay Hospital institute of medical sciences. The aim of BHJ is to improve medical care by publishing sound scientific articles (both research and practice papers) and focusing on topics that are of great importance to its readership.
Editor-in-Chief- Dr Satish Vasant Khadilkar
About the JournalAbstract
Congenital choanal atresia is a rare developmental anomaly characterized by failure of communication between the nasal cavity and nasopharynx. Bilateral choanal atresia usually presents in the neonatal period with respiratory distress, whereas unilateral choanal atresia often presents late because of subtle symptoms. We report the case of a 6-year-old female child presenting with unilateral nasal discharge since birth. Diagnostic nasal endoscopy and computed tomography (CT) of the paranasal sinuses confirmed left-sided congenital choanal atresia associated with adenoid hypertrophy and pan-sinusitis. The patient underwent endoscopic repair of choanal atresia using a posterior septal flap along with coblator-assisted adenoidectomy. Postoperative recovery was uneventful, and the patient is on regular follow-up.
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