ABSTRACT
During the neonatal period the transnasal procedure is best because it is easily performed with minimal risk of facial growth disturbance. The most commonly used technique is endonasal perforation with blunt dilators followed by placement of tubes in the choanae. The tubes serve as a stent across the atretic area to prevent stenosis and as a nasopharyngeal airway.9 In the past, this technique fell into disuse because of a high frequency of recurrence of stenosis and difficulty in keeping the tubes clean. However, if nasal stenting is managed properly, a satisfactory and definitive repair can be made.
