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

DOI: http://dx.doi.org/10.17797/zn1m3e9e41

Editor Recruited By: Sanjay Parikh, MD, FACS

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
HRCT of head, complete workup to exclude CHARGE condition. If confirmed, adequate preop treatment/measures
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
bleeding, restenosis, lesions to skull base
nursing and scrub staff at Vicenza Pediatric ENT
N/A

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

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