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Bilateral choanal atresia

MedGen UID:
870857
Concept ID:
C4025317
Congenital Abnormality
Synonyms: Bilateral blockage of the rear opening of the nasal cavity; Bilateral obstruction of the rear opening of the nasal cavity; Choanal atresia of bilateral nasal passages; Choanal atresia of both nasal passages; choanal atresia, bilateral; Choanal atresia, bilateral
SNOMED CT: Bilateral choanal atresia (890382007); Choanal atresia of both nasal passages (890382007); Choanal atresia of bilateral nasal passages (890382007)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
HPO: HP:0004502
Monarch Initiative: MONDO:0015313
Orphanet: ORPHA137920

Definition

Bilateral absence (atresia) of the posterior nasal aperture (choana). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVBilateral choanal atresia

Conditions with this feature

Ankyloblepharon-ectodermal defects-cleft lip/palate syndrome
MedGen UID:
98032
Concept ID:
C0406709
Disease or Syndrome
The TP63-related disorders comprise six overlapping phenotypes: Ankyloblepharon-ectodermal defects-cleft lip/palate (AEC) syndrome (which includes Rapp-Hodgkin syndrome). Acro-dermo-ungual-lacrimal-tooth (ADULT) syndrome. Ectrodactyly, ectodermal dysplasia, cleft lip/palate syndrome 3 (EEC3). Limb-mammary syndrome. Split-hand/foot malformation type 4 (SHFM4). Isolated cleft lip/cleft palate (orofacial cleft 8). Individuals typically have varying combinations of ectodermal dysplasia (hypohidrosis, nail dysplasia, sparse hair, tooth abnormalities), cleft lip/palate, split-hand/foot malformation/syndactyly, lacrimal duct obstruction, hypopigmentation, hypoplastic breasts and/or nipples, and hypospadias. Findings associated with a single phenotype include ankyloblepharon filiforme adnatum (tissue strands that completely or partially fuse the upper and lower eyelids), skin erosions especially on the scalp associated with areas of scarring, and alopecia, trismus, and excessive freckling.
Phosphoribosylaminoimidazole carboxylase deficiency
MedGen UID:
713858
Concept ID:
C1291561
Disease or Syndrome
Phosphoribosylaminoimidazole carboxylase deficiency (PAICSD) is an autosomal recessive disorder characterized by multiple congenital anomalies and early neonatal death (Pelet et al., 2019).
Choanal atresia-hearing loss-cardiac defects-craniofacial dysmorphism syndrome
MedGen UID:
325265
Concept ID:
C1837822
Disease or Syndrome
TXNL4A-related craniofacial disorders comprise a range of phenotypes that includes: isolated choanal atresia; choanal atresia with minor anomalies; and Burn-McKeown syndrome (BMKS), which is characterized by typical craniofacial features (bilateral choanal atresia/stenosis, short palpebral fissures, coloboma of the lower eyelids, prominent nasal bridge with widely spaced eyes, short philtrum, thin vermilion of the upper lip, and prominent ears). Hearing loss is common and cardiac defects and short stature have been reported. Intellectual disability is rare.
Bamforth-Lazarus syndrome
MedGen UID:
343420
Concept ID:
C1855794
Disease or Syndrome
Bamforth-Lazarus syndrome (BAMLAZ) is a rare autosomal recessive disorder characterized by congenital hypothyroidism due to thyroid agenesis or thyroid hypoplasia, cleft palate, and spiky hair, with or without choanal atresia or bifid epiglottis (summary by Sarma et al., 2022).
Congenital disorder of glycosylation, type IIw
MedGen UID:
1794196
Concept ID:
C5561986
Disease or Syndrome
Congenital disorder of glycosylation type IIw (CDG2W) is an autosomal dominant metabolic disorder characterized by liver dysfunction, coagulation deficiencies, and profound abnormalities in N-glycosylation of serum specific proteins. All reported patients carry the same mutation (602671.0017) (summary by Ng et al., 2021). For an overview of congenital disorders of glycosylation, see CDG1A (212065) and CDG2A (212066).
Branchial arch abnormalities, choanal atresia, athelia, hearing loss, and hypothyroidism syndrome
MedGen UID:
1824056
Concept ID:
C5774283
Disease or Syndrome
Branchial arch abnormalities, choanal atresia, athelia, hearing loss, and hypothyroidism syndrome (BCAHH) is an autosomal dominant disorder characterized by choanal atresia, athelia or hypoplastic nipples, branchial sinus abnormalities, neck pits, lacrimal duct anomalies, hearing loss, external ear malformations, and thyroid abnormalities. Additional features may include developmental delay, impaired intellectual development, and growth failure/retardation (summary by Cuvertino et al., 2020 and Baldridge et al., 2020).

Professional guidelines

PubMed

De Vincentiis GC, Panatta ML, De Corso E, Marini G, Bianchi A, Giuliani M, Sitzia E, Tucci FM
Acta Otorhinolaryngol Ital 2020 Feb;40(1):44-49. doi: 10.14639/0392-100X-1567. PMID: 32275648Free PMC Article
Moreddu E, Rossi ME, Nicollas R, Triglia JM
J Pediatr 2019 Jan;204:234-239.e1. Epub 2018 Oct 2 doi: 10.1016/j.jpeds.2018.08.074. PMID: 30291020
Saraniti C, Santangelo M, Salvago P
Braz J Otorhinolaryngol 2017 Mar-Apr;83(2):183-189. Epub 2016 Apr 22 doi: 10.1016/j.bjorl.2016.03.009. PMID: 27174773Free PMC Article

Recent clinical studies

Etiology

Kalentakis Z, Stamataki S, Chalkiadakis V, Papapetropoulos N
J Craniofac Surg 2021 Sep 1;32(6):e535-e539. doi: 10.1097/SCS.0000000000007490. PMID: 33770044
Ledderose GJ, Havel M, Ledderose C, Betz CS
Eur J Pediatr 2021 Jul;180(7):2245-2251. Epub 2021 Mar 11 doi: 10.1007/s00431-021-04020-3. PMID: 33709157
De Vincentiis GC, Panatta ML, De Corso E, Marini G, Bianchi A, Giuliani M, Sitzia E, Tucci FM
Acta Otorhinolaryngol Ital 2020 Feb;40(1):44-49. doi: 10.14639/0392-100X-1567. PMID: 32275648Free PMC Article
Moreddu E, Rossi ME, Nicollas R, Triglia JM
J Pediatr 2019 Jan;204:234-239.e1. Epub 2018 Oct 2 doi: 10.1016/j.jpeds.2018.08.074. PMID: 30291020
Riepl R, Scheithauer M, Hoffmann TK, Rotter N
Int J Pediatr Otorhinolaryngol 2014 Mar;78(3):459-64. Epub 2013 Dec 24 doi: 10.1016/j.ijporl.2013.12.017. PMID: 24445248

Diagnosis

Frank S, Schoem SR
Pediatr Clin North Am 2022 Apr;69(2):287-300. doi: 10.1016/j.pcl.2021.12.002. PMID: 35337540
Ledderose GJ, Havel M, Ledderose C, Betz CS
Eur J Pediatr 2021 Jul;180(7):2245-2251. Epub 2021 Mar 11 doi: 10.1007/s00431-021-04020-3. PMID: 33709157
Koppen T, Bartmann D, Jakob M, Bootz F, Müller A, Dresbach T, Send T
J Neonatal Perinatal Med 2021;14(1):67-74. doi: 10.3233/NPM-200450. PMID: 32741782
Moreddu E, Rossi ME, Nicollas R, Triglia JM
J Pediatr 2019 Jan;204:234-239.e1. Epub 2018 Oct 2 doi: 10.1016/j.jpeds.2018.08.074. PMID: 30291020
Riepl R, Scheithauer M, Hoffmann TK, Rotter N
Int J Pediatr Otorhinolaryngol 2014 Mar;78(3):459-64. Epub 2013 Dec 24 doi: 10.1016/j.ijporl.2013.12.017. PMID: 24445248

Therapy

Gundle L, Ojha S, Hendry J, Rosen H
Int J Pediatr Otorhinolaryngol 2021 Dec;151:110926. Epub 2021 Oct 1 doi: 10.1016/j.ijporl.2021.110926. PMID: 34624631
Moreddu E, Rossi ME, Nicollas R, Triglia JM
J Pediatr 2019 Jan;204:234-239.e1. Epub 2018 Oct 2 doi: 10.1016/j.jpeds.2018.08.074. PMID: 30291020
Kannan L, Mishra S, Agarwal R, Kartikeyan V, Gupta N, Kabra M
Birth Defects Res A Clin Mol Teratol 2008 Sep;82(9):649-51. doi: 10.1002/bdra.20483. PMID: 18671255
Barbero P, Ricagni C, Mercado G, Bronberg R, Torrado M
Am J Med Genet A 2004 Aug 15;129A(1):83-6. doi: 10.1002/ajmg.a.20668. PMID: 15266622
Ku PK, Tong MC, Tsang SS, van Hasselt A
Am J Otolaryngol 2001 Jul-Aug;22(4):225-9. doi: 10.1053/ajot.2001.24816. PMID: 11464317

Prognosis

De Vincentiis GC, Panatta ML, De Corso E, Marini G, Bianchi A, Giuliani M, Sitzia E, Tucci FM
Acta Otorhinolaryngol Ital 2020 Feb;40(1):44-49. doi: 10.14639/0392-100X-1567. PMID: 32275648Free PMC Article
Moreddu E, Rossi ME, Nicollas R, Triglia JM
J Pediatr 2019 Jan;204:234-239.e1. Epub 2018 Oct 2 doi: 10.1016/j.jpeds.2018.08.074. PMID: 30291020
El-Anwar MW, Nofal AA, El-Ahl MA
Am J Rhinol Allergy 2016 May;30(3):95-9. doi: 10.2500/ajra.2016.30.4321. PMID: 27216343
Riepl R, Scheithauer M, Hoffmann TK, Rotter N
Int J Pediatr Otorhinolaryngol 2014 Mar;78(3):459-64. Epub 2013 Dec 24 doi: 10.1016/j.ijporl.2013.12.017. PMID: 24445248
Ramsden JD, Campisi P, Forte V
Otolaryngol Clin North Am 2009 Apr;42(2):339-52, x. doi: 10.1016/j.otc.2009.01.001. PMID: 19328897

Clinical prediction guides

Nakamura N, Kakita H, Takagi M, Asai S, Asai T, Mori M, Takeshita S, Ueda H, Aoyama M, Kishimoto M, Ito K, Yamada Y
Am J Case Rep 2023 Jun 26;24:e939642. doi: 10.12659/AJCR.939642. PMID: 37357428Free PMC Article
van Schaik CGR, Paasch S, Albrecht T, Becker S
Int J Pediatr Otorhinolaryngol 2022 Sep;160:111240. Epub 2022 Jul 14 doi: 10.1016/j.ijporl.2022.111240. PMID: 35868110
Kalentakis Z, Stamataki S, Chalkiadakis V, Papapetropoulos N
J Craniofac Surg 2021 Sep 1;32(6):e535-e539. doi: 10.1097/SCS.0000000000007490. PMID: 33770044
Friedman NR, Mitchell RB, Bailey CM, Albert DM, Leighton SE
Int J Pediatr Otorhinolaryngol 2000 Jan 30;52(1):45-51. doi: 10.1016/s0165-5876(99)00298-0. PMID: 10699239
Maniglia AJ, Goodwin WJ Jr
Otolaryngol Clin North Am 1981 Feb;14(1):167-73. PMID: 7254838

Recent systematic reviews

Gundle L, Ojha S, Hendry J, Rosen H
Int J Pediatr Otorhinolaryngol 2021 Dec;151:110926. Epub 2021 Oct 1 doi: 10.1016/j.ijporl.2021.110926. PMID: 34624631
Murray S, Luo L, Quimby A, Barrowman N, Vaccani JP, Caulley L
Int J Pediatr Otorhinolaryngol 2019 Apr;119:47-53. Epub 2019 Jan 4 doi: 10.1016/j.ijporl.2019.01.001. PMID: 30665176
Strychowsky JE, Kawai K, Moritz E, Rahbar R, Adil EA
Laryngoscope 2016 Jan;126(1):218-27. Epub 2015 May 25 doi: 10.1002/lary.25393. PMID: 26014684

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