ABSTRACT
A prospective study in Mansoura University Hospital, Egypt in the period between 2000-2004 in 19 patients presented with nasal obstruction either unilateral in 10 cases with average age 4-18 years and male to female is 7:2, and 9 neonates presented with bilateral choanal atresia where seven females and 2two males]. Follow up period is 12-18 months. All patients of neonates stay one night at ICU. All patients operated under general anesthesia endoscopically two cases required for revision surgery and stent for 12 weeks two had adhesions that need splint, only one had collumellar injury and vestibular stenosis and one had posterior pharyngeal wall ulcer. We conclude that endoscopic treatment for choanal atresia is safe with minimal complications