Skeeter Microdrill and Contact Laser Choanal Atresia Repair in Very Low Weight Newborns

Video Type: CVideo
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Author: Riccardo D'Eredita'
Specialties: Endoscopy, Pediatric Surgery
Schools: Vanderbilt University
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Basic Info


Use of 2.7 telescopes, ear instrumentation, contact diode laser, and Skeeter stapes microdrill do open bilateral atretic plate in premies or very low-weight newborns


Unilateral (uncommon) or bilateral choanal atresia (mixed or osseous in type)


Concurrent medical condition that avoid surgery at day 1-2 of age, very low anterior skull base, no consent from parents



stapes surgery table, skeeter, cottonoids, small 0 and 30 deg telescopes

Preoperative Workup

HRCT of head, complete workup to exclude CHARGE condition. If confirmed, adequate preop treatment/measures

Anatomy and Landmarks

middle turbinate, anterior skull base, palate, rhinopharynx, sphenopalatine plate, orientation of atretic plate


anterior endoscopic approach, bloodless, rapid procedure, possibility to avoid stenting, feasible even in 1.8 kgs premies


bleeding, restenosis, lesions to skull base

Disclosure of Conflicts

bleeding, restenosis, lesions to skull base


nursing and scrub staff at Vicenza Pediatric ENT


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