Congenital Choanal Atresia Repair: An Analysis of Adverse Perioperative Events

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Vijay A PatelMichele M Carr

Abstract

To identify risk factors and determine the perioperative morbidity of infants undergoing congenital choanal atresia (CCA) repair. Retrospective analysis of the ACS-NSQIP-P database (American College of Surgeons National Surgical Quality Improvement-Pediatric). Tertiary medical center. Patients who underwent CCA repair at age ≤365 days at the time of surgery were queried via the ACS-NSQIP-P database (2013-2016) via Current Procedural Terminology code 30540. Analyzed outcomes include age, length of stay, medical comorbidities, operative time, readmission, reoperation, and postoperative complications. A total of 168 patients were identified, 70 of which were within the neonatal period. Preoperatively, gastrointestinal disease ( P < .0001), mechanical ventilation ( P < .0001), and oxygen supplementation ( P = .0040) were significantly greater in frequency among neonates. For all children preoperatively, ASA class ( P < .0001), chronic lung disease ( P = .0019), oxygen supplementation ( P < .0001), and prematurity ( P = .0016) had a significant impact on prolonged length of stay. Neonates had a persistent requirement for postoperative mechanical ventilation ( P < .0001) and a prolonged length of stay ( P < .00001). Neonates undergoi...Continue Reading

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Citations

May 30, 2020·The Annals of Otology, Rhinology, and Laryngology·Vijay A PatelMichele M Carr
Nov 17, 2019·The Annals of Otology, Rhinology, and Laryngology·Vijay A PatelMichele M Carr
Mar 13, 2021·European Journal of Pediatrics·Georg J LedderoseChristian S Betz
Aug 29, 2021·International Journal of Surgery Case Reports·Budi Sutikno, Muhammad Thaufiqurrakhman

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