A simple transnasal procedure for treating choanal atresia

Bilateral choanal atresia is a rare but life-threatening disorder. Prompt diagnosis and emergency treatment are necessary. Various transnasal tools as well as other techniques have been tried in the past; they have all been associated with complications. The authors report a treatment of a newborn with a simple and previously unreported procedure for dealing with bilateral choanal atresia. As described, the use of a simple hand-powered drill and bit offers an approach which is straightforward and free of complications. Efficacy of this procedure is documented by a 6-year follow-up period.