14 November 2008

endoscopic unilateral (RT) choanal atresia






The position of the instrument in the nasopharynx is confirmed:
In unilateral cases, the position is confirmed using a 0° or 30° endoscope through the contralateral nasal passage.
Step 1 :
Hemitransfixation incision, Elevation of the mucoperichondium and mucoperiostium
Step 2 :
Removal of the vomer and sphenoid rostum,
A backbiting forceps removes further portions of the vomer and bony septum.
Step 3 :
Elevation of the mucosa of the atresial plate
Removal of the plate by Kerrison rongeurs, The forceps is inserted on the atretic side, and appropriate position is confirmed with a 0° endoscope on the contralateral side. This is an important step in gaining an adequate opening for the choanal
Septoplasty also was done



miniseptoplasty
















fixation of mandibular facture by mimiplate and scrows







frontal sinus obliteration by fat and fascia Lata graft














fixation of maxillary fracture by mimiplate and scrows