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Choanal atresia: UnilateralCChoanal atresia: UnilateralChoanal atresia: UnilateralEnglishOtolaryngologyToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NoseNose;NasopharynxProceduresCaregivers Adult (19+)NA2010-05-07T04:00:00ZMegan Bunch, RN, BScN;Rafat Saleemi, RN, MN;Tomka George, RN;Pauline Lackey, RN;Vito Forte, MD, FRCSC7.0000000000000074.00000000000001328.00000000000Health (A-Z) - ProcedureHealth A-Z<p>In unilateral choanal atresia only one side of the nasal passage is blocked by bone or soft tissue. Learn what happens during surgery and how to take care of your child at home.</p><h2>What is unilateral choanal atresia?</h2><p>Choanal atresia (say: co-ANN-ul ah-TREE-zee-ah) is a condition in which the back of the nasal passage is blocked by bone or soft tissue. The nasal passage is the route that brings air through the nose to the throat. Choanal atresia is present at birth. </p><p>In unilateral choanal atresia, only one side of the nasal passage is blocked. The baby can still breathe through the side that is not blocked. </p> <figure> <span class="asset-image-title">Choanal </span><span class="asset-image-title"></span><span class="asset-image-title">atresia</span><img src="https://assets.aboutkidshealth.ca/akhassets/Choanal_atresia_MED_ILL_EN.png" alt="A normal nasal passage and a nasal passage with choanal atresia" /><figcaption class="asset-image-caption">Choanal</figcaption><figcaption class="asset-image-caption"></figcaption><figcaption class="asset-image-caption"> atresia is a condition in which the back of the nasal passage is blocked by bone or soft tissue. Some babies have a blocked nasal passage on one side.</figcaption> </figure><h2>Key points</h2> <ul> <li>In unilateral choanal atresia, one nasal passage is blocked by bone or soft tissue. Air can pass through the other side of the nose. </li> <li>During surgery, the nasal passage is opened. A small plastic tube called a nasal stent is placed in the nostril to keep the nasal passage open while it is healing. </li> <li>A nurse will show you how to put nose drops in the nostril that has the stent in it.</li> <li>Nasal stents are usually left in the nasal passage for about three months. When your child is ready, the stent will be removed in the hospital under a general anaesthetic.</li> </ul><h2>When to call the doctor</h2> <p>Please call your child's otolaryngology doctor, otolaryngology clinic or family doctor right away if your child has any of the following signs after going home: </p> <ul> <li>yellowish or green nasal discharge </li> <li>bleeding from the nose or mouth </li> <li><a href="/Article?contentid=30&language=English">fever</a> of 38.5°C (101°F) or higher </li> <li>the stent falls out </li> <li>pain that gets worse </li> <li><a href="/Article?contentid=746&language=English">vomiting</a> (throwing up) that does not stop </li> <li>swelling of the nose or face </li> <li>trouble swallowing </li> <li>trouble breathing</li> </ul> <p>If this is an emergency, do not wait. Take your child to the closest emergency department.</p><h2>Your child will need surgery to open the nasal passage</h2> <p>A child with unilateral choanal atresia will need surgery (an operation) to open the nasal passage. This surgery can wait until the child is older. An otolaryngologist/head and neck surgeon (ear, nose and throat doctor) will perform the surgery. </p> <p>This page explains what to expect when your child is having surgery for unilateral choanal atresia and how to take care of your child after the operation. </p><h2>What happens during the operation</h2> <p>Before the operation starts, your child will have a special "sleep medicine" called a <a href="/Article?contentid=1261&language=English">general anaesthetic</a>. This means your child will sleep through the operation and will not feel any pain. </p> <p>During surgery, the nasal passage is opened. A small plastic tube called a nasal stent is placed in the nostril to keep the nasal passage open while it is healing. </p> <p>The surgery usually takes from one to two hours.</p><h2>After the operation</h2> <p>You will be able to see your child as soon as they are fully awake. A volunteer from the surgical waiting room will bring you to see your child. </p> <p>After the operation, your child will spend at least one hour in the recovery room, also called the <a href="/Article?contentid=1262&language=English">Post-Anaesthetic Care Unit</a> (PACU). Your child will then be transferred to a room on the Otolaryngology (ENT) inpatient unit. Nurses will monitor your child to make sure they are recovering well after the operation. </p> <ul> <li>Your child will be on a monitor that helps the nurse watch their breathing. </li> <li>Your child will have an intravenous (IV) tube in their arm until they are drinking and no longer needs IV medication. </li> <li>If your child has pain, the doctor or nurse will give them pain medicine, either through the IV tube or as a liquid to swallow. </li> <li>Your child will be able to drink sips of clear fluids and can eat soft foods when they are ready. </li> <li>When your child is fully awake, they will be able to get up to go to the washroom or sit in a chair with your help. </li> <li>Your child may have some pinkish/red fluid called mucus coming from their nostril. If the mucus is thick, the nurses will suction it with a thin plastic tube called a catheter tip.</li> <li>A nurse will show you how to put nose drops in the nostril that has the stent in it. </li> <li>You may sleep overnight in your child's room. </li> </ul> <p>Your child will likely be in the hospital for one to three days.</p><h2>Getting ready for the operation</h2> <p>Several hours before the operation, your child will need to stop eating and drinking. The doctor or nurse will tell you when your child must stop eating and drinking. </p> <h3>Important information</h3> <p>Date and time of the operation:</p> <p>When you must stop feeding your child:</p> <p>Other things to remember:</p> <p>Your child's otolaryngology (ENT) doctor:</p> <p>The doctor's phone number:</p> <p>The otolaryngology (ENT) clinic nurse's number:</p> <p>Your family doctor's number:</p>
Atrésie des choanes: unilatéraleAAtrésie des choanes: unilatéraleChoanal atresia: UnilateralFrenchOtolaryngologyToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NoseNose;NasopharynxProceduresCaregivers Adult (19+)NA2010-05-07T04:00:00ZMegan Bunch, RN, BScN;Rafat Saleemi, RN, MN;Tomka George, RN;Pauline Lackey, RN;Vito Forte, MD, FRCSC7.0000000000000074.00000000000001328.00000000000Health (A-Z) - ProcedureHealth A-Z<p>On parle d’atrésie choanale unilatérale si un seul côté du canal nasal est obstrué par un os ou des tissus mous. Vous apprendrez ce qui se passe pendant l'opération et comment prendre soin de votre enfant à la maison.</p><h2>Qu’est-ce que l’atrésie choanale unilatérale?</h2><p>L’atrésie choanale, ou atrésie des choanes, est une pathologie qui cause une obstruction du canal nasal par des os ou des tissus mous. Le canal nasal est le passage qui apporte l’air du nez vers la gorge. L’atrésie choanale est présente à la naissance. </p><p> En présence d'atrésie choanale unilatérale, un seul côté du canal nasal est obstrué. Le bébé peut respirer par le côté qui n'est pas bloqué. </p> <figure><span class="asset-image-title">Atrésie choanale</span><img src="https://assets.aboutkidshealth.ca/akhassets/Choanal_atresia_MED_ILL_FR.png" alt="Un passage nasal normal et un passage nasal avec l’atrésie choanale" /><figcaption class="asset-image-caption">L'atrésie choanale est un trouble où l'arrière de la voie nasale est bloqué par des os ou du tissu mou. Certains bébés ont une voie nasale bloquée d'un côté..</figcaption> </figure><h2>À retenir</h2> <ul> <li>On parle d’atrésie choanale unilatérale si un seul côté du canal nasal est obstrué par un os ou des tissus mous. L’air peut passer par l'autre narine.</li> <li>Pendant l’opération, le canal nasal est ouvert, et un petit tube de plastique, appelé endoprothèse nasale, est placé dans la narine pour garder le canal ouvert le temps qu'il guérisse.</li> <li>Une infirmière vous montrera comment mettre des gouttes nasales dans la narine où se trouve l’endoprothèse.</li> <li>L’endoprothèse demeure habituellement en place pendant environ trois mois. Quand le temps sera venu, elle sera retirée à l’hôpital. Votre enfant aura besoin d’une anesthésie générale.</li> </ul><h2>Quand appeler le médecin</h2> <p>Veuillez appeler l’ORL, la clinique d’ORL ou votre médecin de famille immédiatement si votre enfant affiche les signes suivants une fois à la maison :</p> <ul> <li>écoulements nasaux jaunâtres ou verdâtres;</li> <li>saignements du nez ou de la bouche;</li> <li><a href="/Article?contentid=30&language=French">fièvre</a> de 38,5°C (101°F) ou plus;</li> <li>l'endoprothèse tombe;</li> <li>douleur qui empire;</li> <li><a href="/Article?contentid=746&language=French">vomissements</a> qui ne cessent pas;</li> <li>nez ou visage enflé;</li> <li>difficulté à avaler;</li> <li>difficulté à respirer.<br></li> </ul> <p>S’il s’agit d'une urgence, n'attendez pas et conduisez votre enfant au service d’urgence le plus près.</p><h2>Votre enfant devra se faire opérer pour que soit ouvert le canal nasal</h2> <p>Un enfant atteint d’atrésie choanale unilatérale aura besoin d'une opération chirugicale pour ouvrir le canal nasal. Cette opération peut attendre jusqu'à ce que l'enfant soit plus vieux. Un otorhinolaryingologiste/chirurgien de la tête et du cou (médecin spécialisé dans les oreilles, le nez et la gorge) fera l’opération. </p> <p>Cette page explique à quoi s’attendre quand votre enfant subira une opération pour l’atrésie choanale bilatérale et comment prendre soin de votre enfant après l’opération. </p><h2>Ce qui se passe pendant l’opération</h2> <p>Avant le début de l’opération, votre enfant aura besoin d’un « médicament pour dormir » spécial appelé anesthésique général. Cela signifie que votre enfant dormira tout au long de l’opération et ne sentira pas de douleur. </p> <p>Pendant l’opération, le canal nasal sera ouvert. De petits tubes de plastique appelés endoprothèses nasales sont placés dans la narine pour garder le passage nasal ouvert le temps qu’il guérisse.</p> <p>L’opération prend habituellement une à deux heures.</p><h2>Après l’opération</h2> <p>Vous pourrez voir votre enfant aussi tôt qu’il sera complètement réveillé. Un bénévole de la salle d’attente de la salle d’opération vous conduira auprès de votre enfant. </p> <p>Après l’opération, votre enfant passera au moins une heure en salle de réveil, aussi appelée l’<a href="/Article?contentid=1262&language=French">unité de soins postopératoires</a>. Votre enfant sera ensuite transféré dans une chambre de l’unité d’ORL. Des infirmières surveilleront votre enfant pour s’assurer qu'il se rétablit bien.. </p> <ul> <li>Votre enfant sera branché à un moniteur qui aide l’infirmière à surveiller la respiration.</li> <li>Votre enfant aura un tube intraveineux (IV) jusqu’à ce qu’il boive et n’ait plus besoin des médicaments IV.</li> <li>Si votre enfant ressent de la douleur après l’opération, le médecin ou l’infirmière lui donnera des médicaments, au moyen du tube IV dans son bras ou sous forme de liquide à avaler.</li> <li>Votre enfant pourra boire de petites gorgées de liquides clairs et manger des aliments mous quand il sera prêt.</li> <li>Quand votre enfant sera complètement réveillé, il pourra se lever pour aller à la salle de bains ou s’asseoir dans un fauteuil avec votre aide.</li> <li>Votre enfant pourrait parfois avoir des écoulements rosâtres ou rouges (liquide collant) qui s’échappent de la narine. S’il est épais, les infirmières aspireront ce mucus au moyen d’un mince tube de plastique, appelé embout de cathéter.</li> <li>Une infirmière vous enseignera comment mettre des gouttes dans la narine où se trouve l’endoprothèse.</li> <li>Vous pouvez dormir dans la chambre de votre enfant.</li> </ul> <p>Votre enfant passera probablement un à trois jours à l’hôpital.</p><h2>Se préparer pour l’opération</h2> <p>Plusieurs heures avant l’opération, votre enfant devra cesser de manger et de boire. Le médecin ou l’infirmière vous dira quand votre enfant doit cesser de manger et de boire. </p> <h3>Renseignements importants</h3> <p>Date et heure de l’opération :</p> <p>Quand cesser de nourrir l’enfant :</p> <p>Autres choses à garder à l’esprit :</p> <p>Otorhinolaryngologiste (ORL) de votre enfant :</p> <p>Numéro de téléphone :</p> <p>Numéro de l’infirmière de la clinique d’ORL :</p> <p>Numéro de votre médecin de famille :</p>

 

 

Choanal atresia: Unilateral1029.00000000000Choanal atresia: UnilateralChoanal atresia: UnilateralCEnglishOtolaryngologyToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NoseNose;NasopharynxProceduresCaregivers Adult (19+)NA2010-05-07T04:00:00ZMegan Bunch, RN, BScN;Rafat Saleemi, RN, MN;Tomka George, RN;Pauline Lackey, RN;Vito Forte, MD, FRCSC7.0000000000000074.00000000000001328.00000000000Health (A-Z) - ProcedureHealth A-Z<p>In unilateral choanal atresia only one side of the nasal passage is blocked by bone or soft tissue. Learn what happens during surgery and how to take care of your child at home.</p><h2>What is unilateral choanal atresia?</h2><p>Choanal atresia (say: co-ANN-ul ah-TREE-zee-ah) is a condition in which the back of the nasal passage is blocked by bone or soft tissue. The nasal passage is the route that brings air through the nose to the throat. Choanal atresia is present at birth. </p><p>In unilateral choanal atresia, only one side of the nasal passage is blocked. The baby can still breathe through the side that is not blocked. </p> <figure> <span class="asset-image-title">Choanal </span><span class="asset-image-title"></span><span class="asset-image-title">atresia</span><img src="https://assets.aboutkidshealth.ca/akhassets/Choanal_atresia_MED_ILL_EN.png" alt="A normal nasal passage and a nasal passage with choanal atresia" /><figcaption class="asset-image-caption">Choanal</figcaption><figcaption class="asset-image-caption"></figcaption><figcaption class="asset-image-caption"> atresia is a condition in which the back of the nasal passage is blocked by bone or soft tissue. Some babies have a blocked nasal passage on one side.</figcaption> </figure><h2>Key points</h2> <ul> <li>In unilateral choanal atresia, one nasal passage is blocked by bone or soft tissue. Air can pass through the other side of the nose. </li> <li>During surgery, the nasal passage is opened. A small plastic tube called a nasal stent is placed in the nostril to keep the nasal passage open while it is healing. </li> <li>A nurse will show you how to put nose drops in the nostril that has the stent in it.</li> <li>Nasal stents are usually left in the nasal passage for about three months. When your child is ready, the stent will be removed in the hospital under a general anaesthetic.</li> </ul><h2>Caring for your child at home</h2> <p>Follow these intructions when your child goes home after the procedure.</p> <h3>You may give your child medicine for pain</h3> <p>You may receive a prescription for pain medication, before you leave the hospital. Follow the dosage instructions given to you by the pharmacist. Although these prescription pain medications can be beneficial, they are also potentially very dangerous if not used properly. </p> <p>When using these medications, if you notice any changes in either breathing or level of drowsiness that concern you, stop the medication and seek medical attention. If your child is unresponsive, call 911 immediately. </p> <p>Do not give your child over-the-counter medicine that may have a sedative effect (makes people sleep) while giving the prescription pain medicine. Examples of these medicines are decongestants and antihistamines. Discuss these medications with your pharmacist. </p> <p>You may give your child <a href="/Article?contentid=62&language=English">acetaminophen</a> if they have pain. Give the dose as printed on the bottle for your child's age. Do not give your child <a href="/Article?contentid=153&language=English">ibuprofen</a> or <a href="/Article?contentid=77&language=English">acetylsalicylic acid (ASA)​</a> for two weeks after the surgery. These medications could increase your child's risk of bleeding after the operation. Check with the nurse or doctor first before giving these medicines to your child. </p> <h3>Give your child nose drops</h3> <p>Your child's nurse will give you a prescription for antibiotic nose drops before you leave the hospital. Remember to place the drops into the nasal passage around the stent. Do not put the drops in the stent. </p> <h3>Meals at home</h3> <p>Once at home, keep giving your child fluids (such as juice and soup) and soft food. If they are able to tolerate this well, they can go back to eating what they normally eat. </p> <h3>Bathing</h3> <p>Your child can have baths. Make sure to keep the nasal stent clear of tub water.</p> <h3>Help your child breathe more comfortably</h3> <p>You can use a machine called a humidifer to help your child breathe more comfortably. A humidifer makes the air moist by creating a cool mist. This helps keep the mucus in your child's nasal stent loose, so it does not become sticky and block the stent. Put it at your child's bedside. </p> <h3>Activity</h3> <p>Check with the otolaryngology doctor before your child starts playing sports or swimming, or goes back to school or day care.</p><h2>When to call the doctor</h2> <p>Please call your child's otolaryngology doctor, otolaryngology clinic or family doctor right away if your child has any of the following signs after going home: </p> <ul> <li>yellowish or green nasal discharge </li> <li>bleeding from the nose or mouth </li> <li><a href="/Article?contentid=30&language=English">fever</a> of 38.5°C (101°F) or higher </li> <li>the stent falls out </li> <li>pain that gets worse </li> <li><a href="/Article?contentid=746&language=English">vomiting</a> (throwing up) that does not stop </li> <li>swelling of the nose or face </li> <li>trouble swallowing </li> <li>trouble breathing</li> </ul> <p>If this is an emergency, do not wait. Take your child to the closest emergency department.</p><h2>When to see the doctor after the procedure</h2> <p>Your otolaryngology doctor will tell you when they will need to see your child again. The otolaryngology unit will tell you the date and time for a follow-up appointment. </p> <p>Your child will probably need to wear the nasal stent for about three months. When your child is ready, the stent will be removed in the hospital under a general anaesthetic. </p><h2>Your child will need surgery to open the nasal passage</h2> <p>A child with unilateral choanal atresia will need surgery (an operation) to open the nasal passage. This surgery can wait until the child is older. An otolaryngologist/head and neck surgeon (ear, nose and throat doctor) will perform the surgery. </p> <p>This page explains what to expect when your child is having surgery for unilateral choanal atresia and how to take care of your child after the operation. </p><h2>What happens during the operation</h2> <p>Before the operation starts, your child will have a special "sleep medicine" called a <a href="/Article?contentid=1261&language=English">general anaesthetic</a>. This means your child will sleep through the operation and will not feel any pain. </p> <p>During surgery, the nasal passage is opened. A small plastic tube called a nasal stent is placed in the nostril to keep the nasal passage open while it is healing. </p> <p>The surgery usually takes from one to two hours.</p><h2>After the operation</h2> <p>You will be able to see your child as soon as they are fully awake. A volunteer from the surgical waiting room will bring you to see your child. </p> <p>After the operation, your child will spend at least one hour in the recovery room, also called the <a href="/Article?contentid=1262&language=English">Post-Anaesthetic Care Unit</a> (PACU). Your child will then be transferred to a room on the Otolaryngology (ENT) inpatient unit. Nurses will monitor your child to make sure they are recovering well after the operation. </p> <ul> <li>Your child will be on a monitor that helps the nurse watch their breathing. </li> <li>Your child will have an intravenous (IV) tube in their arm until they are drinking and no longer needs IV medication. </li> <li>If your child has pain, the doctor or nurse will give them pain medicine, either through the IV tube or as a liquid to swallow. </li> <li>Your child will be able to drink sips of clear fluids and can eat soft foods when they are ready. </li> <li>When your child is fully awake, they will be able to get up to go to the washroom or sit in a chair with your help. </li> <li>Your child may have some pinkish/red fluid called mucus coming from their nostril. If the mucus is thick, the nurses will suction it with a thin plastic tube called a catheter tip.</li> <li>A nurse will show you how to put nose drops in the nostril that has the stent in it. </li> <li>You may sleep overnight in your child's room. </li> </ul> <p>Your child will likely be in the hospital for one to three days.</p><h2>Getting ready for the operation</h2> <p>Several hours before the operation, your child will need to stop eating and drinking. The doctor or nurse will tell you when your child must stop eating and drinking. </p> <h3>Important information</h3> <p>Date and time of the operation:</p> <p>When you must stop feeding your child:</p> <p>Other things to remember:</p> <p>Your child's otolaryngology (ENT) doctor:</p> <p>The doctor's phone number:</p> <p>The otolaryngology (ENT) clinic nurse's number:</p> <p>Your family doctor's number:</p>https://assets.aboutkidshealth.ca/akhassets/Choanal_atresia_MED_ILL_EN.pngChoanal atresia: UnilateralFalse

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