role of multislice computed tomography and local contrast in the diagnosis and characterization of choanal atresia多层螺旋计算机断层扫描和地方对比在闭锁的诊断和描述.pdfVIP

Hindawi Publishing Corporation International Journal of Pediatrics Volume 2011, Article ID 280763, 6 pages doi:10.1155/2011/280763 Clinical Study Role of Multislice Computed Tomography and Local Contrast in the Diagnosis and Characterization of Choanal Atresia Khaled Al-Noury1 and Alsaid Lotfy2 1 Department of Otolaryngology, King Abdulaziz University, P.O. Box 35135, Jeddah 21488, Saudi Arabia 2 Radiology Department, International Medical Centre, P.O. Box 2172, Jeddah 21451, Saudi Arabia Correspondence should be addressed to Khaled Al-Noury, kalnoury@ Received 5 January 2011; Accepted 9 March 2011 Academic Editor: Joseph M. Croffie Copyright © 2011 K. Al-Noury and A. Lotfy. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective. To illustrate the role of multislice computed tomography and local contrast instillation in the diagnosis and character- ization of choanal atresia. To review the common associated radiological findings. Methods. We analyzed 9 pediatric patients (5 males and 4 females) with suspected choanal atresia by multislice computed tomography. We recorded the type of atresia plate and other congenital malformations of the skull. Results. Multislice computed tomography with local contrast installed delineated the posterior choanae. Three patients had unilateral mixed membranous and bony atresia. Three patients had unilateral pure bony atresia. Only 1 of 7 patients have bilateral bony atresia. It also showed other congenital anomalies in the head region. One patient is with an ear abnormality. One patient had congenital nasal pyriform aperture stenosis. One of these patients had several