Congenital choanal atresia has been recognized for over 200 years, first described by Roederer in 1775 (Lantz and Brick, Laryngoscope 91, 1981, 1626. Samuel and Fernandes. Laryngoscope 95, 1985, 326). This condition is unconunon, occurring in approximately 1 in 7000 live births. Unfortunately, a single ideal procedure for this condition does not exist. Stankiewicz is credited with the first description of endoscopic techniques for choanal atresia repair. All patients diagnosed to have choanal atresia treated between 1999 and 2000 were reviewed. Out of four patients two underwent endoscopic repair. This article attempts to address this controversy between endoscopic and traditional approaches to neonatal choanal atresia.
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