Surgical Correction of Congenital Bilateral Choanal Atresia in a Foal

Congenital bilateral choanal atresia was corrected surgically in a neonatal foal. Presenting clinical signs included complete obstruction of the upper airway, which had been relieved by tracheotomy. The diagnosis was confirmed by endoscopic examination and contrast radiography. Bilateral nasal flaps were used to gain access to the caudal nasal cavity, allowing removal of obstructive tissue and restoration of normal respiration. Malocclusion developed secondary to surgical intervention and resultant damage to suture lines of developing flat bones of the skull. Nine months postoperatively, the asynchronous growth of the mandible and maxilla had not resulted in difficulty during mastication. Respiration, although audible during periods of exercise, was acceptable to the owners.