Preferred Label : Choanal atresia, posterior;
Symbol : PCA;
CISMeF acronym : PCA;
Type : Phenotype or locus, molecular basis unknown;
Description : Choanal atresia is a threat to life because young infants cannot establish the habit
of mouth breathing. About 8% of cases are familial (Gorlin, 1982). It is probably
a multifactorial trait like cleft lip and cleft palate. The fact that both affected
successive generations and affected single generations have been reported supports
this (Lang, 1912; Phelps, 1926; McGovern, 1950). Ransome (1964) found 12 families
with 2 or more members affected. One of these, in which 4 of 5 sibs were affected,
was described by him. Most reports of multiple affected relatives have concerned sibs.
However, affected persons in the family reported by Lang (1912) included, in addition
to the proband, the mother, sister and maternal aunt and perhaps a brother. Fendel
(1966) described affected sibs. Grahne and Kaltiokallio (1966) observed affected sisters.
The condition is said to occur twice as often in girls as in boys and more frequently
in the right side than the left side. PCA has been observed with the Treacher Collins
syndrome (154500) and with hyperostotic dwarfism (151050). Shashi et al. (1994) described
choanal atresia in a patient with the deletion 9p syndrome (9p- syndrome; 158170)
and found a previous report of this association. Shashi et al. (1998) reported a third
case of deletion 9p with choanal atresia. Harris et al. (1997) examined data from
3 large registries of congenital malformations and identified 444 infants with choanal
atresia, for an average rate of 0.82 affected per 10,000 births. No statistically
significant difference in rate was noted for race, sex, maternal age or parity, or
laterality in unilateral cases; however, a slightly increased risk at twinning was
noted. An analysis of associated malformations, present in 47% of the infants without
chromosome anomalies, indicated that a weak, nonrandom association can be demonstrated
between the malformations of the CHARGE complex (214800). If the definition of;
Prefixed ID : %608911;
Origin ID : 608911;
UMLS CUI : C0220723;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
False automatic mappings
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)