Trans-nasal endoscopic repair without stenting in bilateral congenital bony choanal atresia: Our technique

: Choanal atresia is a commonly observed congenital nasal abnormality. Incidence of choanal atresia is 1 in 7,000 live births. There are various techniques which has been described for the choanal atresia repair. Here we are sharing step by step trans-nasal technique to get good results post-operatively.: The aim of this study to explain and share the technique to treat a bony choanal atresia without any stenting in the nasal cavity of a neonate. The purpose of this study to analyse the surgical outcome of single stage bony choanal atresia repair in terms of restenosis and revision surgery. : We have described the step by step approach for the repair of bony choanal atresia without using any stent in the nasal cavity. Pre surgery evaluation and surgical steps have been explained with photograph to understand this technique better.: Bony choanal atresia can be treated without any stent placement which was the most common method for the repair of congenital choanal atresia in neonates. Clinical significance: This technique will reduce the chances of complication which arises because of stenting in the nasal cavity. This technique is simple and easily reproducible in the practise.