Congenital choanal atresia is the developmental failure of one or both posterior nasal cavities to communicate normally with the nasopharynx. Coexisting congenital anomalies are present in 20% to 50% of patients in most series. The first recorded case was by Johann Roedere in Germany around 1755. The first surgical procedure using a curved trocar to puncture a bony obstruction was reported by Carl Emmert in 1853. Since then, transnasal, transseptal, transantral and transpalatal approaches have been described. The authors have experienced two cases of congenital choanal atresia by transpalatal approach with good result.