The transoral repair of choanal atresia is a method for the surgical repair of choanal atresia that uses a transoral approach. The procedure includes the use of a curved drill, a curved shaver, curved grasping forceps, and a suction irrigator. After endotracheal intubation, a retractor is inserted to retract the tongue. A 120° angled telescope is inserted behind the soft palate into the nasopharynx to visualize the posterior choanae. A curved drill is used to drill the atretic plate from the vomer medially to the lateral pterygoid plate laterally. The drilled section of the atretic plate is removed to clear the obstruction.
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