When is the right time for surgery for a 2-month-old infant with congenital bilateral choanal atresia?

Patient's question:

Congenital posterior choanal atresia, can only breathe through the mouth, was treated at Guangzhou Provincial Maternal and Child Health Hospital. Later, partial bone defect was found in the anterior cranial fossa, and the doctor recommended giving up. Accompanied by pneumonia

Doctor's answer:

After a newborn is born, if diagnosed with bilateral congenital choanal atresia, it should be treated as an emergency to maintain airway patency, prevent suffocation, and ensure nutrition. A rubber nipple can be used: cut off its tip, insert it into the mouth, and tie it to the head with noodles to facilitate oral breathing. A small amount of milk can be dripped through the nipple. The nipple can only be removed when the child has become accustomed to oral breathing. It is best to have a dedicated caregiver to prevent suffocation and monitor nutritional intake.

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