Congenital bilateral adult choanal atresia undiagnosed until the second decade: How we did it

Background:

Bilateral congenital choanal atresia that presents in adulthood is rare. There are only eight reported cases in the literature.

Method:

We present a ninth case of adult bilateral choanal atresia diagnosed at the age of 20 years. Can a bilateral choanal atresia present so late in life when such a condition is considered incompatible with life?

Results and conclusion:

Clinical details, diagnosis, and surgical steps with a clear depiction of photographs and comparison with all other previously reported cases, which can help novel otolaryngologists in their clinical practice are discussed.