Paeds ENT | National Training Day | Choanal atresia & Nasal stenosis | Mrs Ann-Louise McDermott

Choanal atresia & Nasal stenosis
Mrs Ann-Louise McDermott - Consultant Paediatric Otolaryngologist, Birmingham Women’s and Children Hospital
National Paediatric Rhinology Training Day, 22nd May 2020
Curriculum topics (UK Otolaryngology Higher Surgical Training 2017)
1. Paediatric otolaryngology - Airway pathology in childhood; ENT related syndromes and cleft palate; Aetiology and management of congenital abnormalities of the head and neck affecting adults (including branchial & thyroglossal cysts, pharyngeal diverticulae, cleft lip & palate); Nasal obstruction
01:02 - Embryology, epidemiology and syndromic associations
03:32 - Pathophysiology
04:20 - Signs and symptoms
05:48 - Bilateral - immediate management
07:27 - Imaging
08:57 - Bilateral - surgical treatment options
11:05 - Unilateral - treatment options
11:43 - Surgery (with video)
15:15 - Stenting and Mitomycin C
16:44 - Pitfalls - submucous cleft and asymmetry of the skull base
19:57 - Complications
20:59 - Consenting and top tips
22:56 - Congenital pyriform aperture stenosis (CPAS)
23:37 - CPAS symptoms and diagnosis; medical and surgical management
26:32 - Midnasal stenosis and management
27:57 - Use of nasal steroids
Questions
28:56 - Septal or lateral wall flaps to prevent re-stenosis
29:41 - Removing 'V' from the septum
30:41 - CT criteria for CPAS
30:56 - Nasal steroids and dose
31:22 - Age of operating if tracheostomy
31:56 - Nasal stenosis patients
32:48 - Repeating balloon dilatations
34:01 - Age and use of flixonase nebules