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Mangalore:Doctors successfully operate on 36-hour infant
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Print MANGALORE: A 36-hour-old infant was put under the knife successfully to correct a serious birth defect called bilateral choanal artresia at Mangala Hospital here. A team of physicians headed by Dr Gautham Kulamarva, ENT surgeon, Dr Murli Keshava, neonatologist and Dr Ganapathi, anaesthesiologist, performed a trans nasal endoscopic surgery for the problem and corrected the birth defect in this child, Dr Gautham Kulamarva said.
Explaining the significance of the case, Dr Gautham said when a child is born, it can only breathe through the nose failing which it usually dies of breathing difficulty. The child in question was born with the above named birth defect wherein the communication between the nose and the throat was blocked due to the presence of an unnatural bone in the back side of the nose, causing life-threatening breathing difficulty for the child, he said.
This is a rare condition usually seen in less than one in 20,000-30,000 live births. In the past, such cases were corrected through the mouth, which is less natural way of correcting the defect, for which the trans nasal endoscopic approach was developed and one which the team adopted. Dr Gautham said in medical literature world over, there are only four other reported cases of such an operation being carried out on child this young, and perhaps the first in India.
Sometimes, a unilateral choanal artresia is not detected until much later in life because the baby manages to get along with only one nostril available for breathing. However, in this case, the defect was bilateral blockage of the nasal passage (choana), he said, adding that post-surgery, the child has already started feeding on the mother’s milk and the child and the mother were discharged from the hospital. Dr Murli and Dr Ganapathi were present.
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