ENT · Rhinitis, Nasal Septal Disorders and Congenital Anomalies

A neonate with bilateral choanal atresia is being evaluated for associated anomalies. Which named association is classically linked with choanal atresia?

  • A VACTERL association
  • B Potter sequence
  • C CHARGE association
  • D Beckwith-Wiedemann syndrome
Correct answer: C. CHARGE association

Explanation

CHARGE stands for Coloboma, Heart defects, choanal Atresia, Retarded growth and development, Genitourinary anomalies and Ear anomalies. Roughly half of bilateral cases have associated anomalies, so every infant with choanal atresia warrants screening for these features. VACTERL includes vertebral, anal, cardiac, tracheo-oesophageal, renal and limb defects but not choanal atresia, which distinguishes the two associations.

Reference: Scott-Brown's Essential Otorhinolaryngology, 2nd ed.

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