Although this stork underwent a thorough physical examination, because of its attitude and size, good visualization of the
choanae was not possible in the awake bird.
mallei in lung and
choanae specimens was examined by using standard culturing techniques as described by Wittig et al.
The letters in Charge stand for: Coloboma of the eye, Heart defects, Atresia of the
choanae, Retardation of growth and/or development, Genital and/or urinary abnormalities, and Ear abnormalities and deafness.
Vocal slits large, extending from beneath postero-lateral margin of tongue to near jaw angle; tongue with a shallow posterior notch; vomerine teeth in two well-separated, transverse rows between posterior halves of obliquely elliptical
choanae.
Tongue longer than wide, oval, entire or slightly notched on its posterior end; posterior 3/5 of tongue not adherent to floor of mouth;
choanae rounded, concealed or not by palatal shelf of maxillary arch; maxilla and premaxilla toothed; teeth pedicelate, medium-sized, robust and curved posteriad.
The polyp extended posteriorly to fill the nasopharynx, and it obstructed both
choanae (figure 1).
Coloboma of the eye Heart malformations Atresia of the
Choanae (nasal) Retardation of growth and/or development Genital Hypoplasia Ear anomalies 2004 Parkade Blvd.
Choanae rounded,not concealed by palatal shelf of maxillary arch.
Flexible endoscopy revealed a 90% obstruction of the
choanae secondary to adenoid hypertrophy.
Six weeks later, the child was brought back to the operating room for a dilation procedure, which confirmed wide patency of both
choanae (figure 3).
Endoscopy confirmed that the mass had obstructed the right and left
choanae.
He then demonstrated this remarkable lingual dexterity by easily maneuvering his anterior tongue behind his soft palate, into his nasopharynx, and then through both his posterior
choanae (figure, A-D).
