Skeeter Microdrill and Contact Laser Choanal Atresia Repair in Very Low Weight Newborns
Video Type: CVideo- 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
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Author: Riccardo D'Eredita'
Published:
Specialties: Endoscopy, Pediatric Surgery
Schools: Vanderbilt University
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Loading...DOI: http://dx.doi.org/10.17797/zn1m3e9e41
Editor Recruited By: Sanjay Parikh, MD, FACS
Procedure
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
Indications
Unilateral (uncommon) or bilateral choanal atresia (mixed or osseous in type)
Contraindications
Concurrent medical condition that avoid surgery at day 1-2 of age, very low anterior skull base, no consent from parents
Instrumentation
Setup
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
Advantages/Disadvantages
anterior endoscopic approach, bloodless, rapid procedure, possibility to avoid stenting, feasible even in 1.8 kgs premies
Complications/Risks
bleeding, restenosis, lesions to skull base
Disclosure of Conflicts
bleeding, restenosis, lesions to skull base
Acknowledgements
nursing and scrub staff at Vicenza Pediatric ENT
References
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