Congenital nasal pyriform aperture stenosis 5.7mm or less is associated with surgical intervention: A pooled case series

Wormald, Robert; Hinton-Bayre, Anton; Bumbak, Paul; Vijayasekaran, Shyan

doi:10.1016/j.ijporl.2015.07.026

Cited by 44 publications

(29 citation statements)

References 12 publications

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“…CNPS is diagnosed clinically by difficulty to pass a small catheter though the anterior nasal valve and confirmed with CT scan. A pyriform aperture width of less than 5.7 mm in a neonate is 88% sensitive in predicting surgical intervention [13] . Sublabial surgical correction of the CNPS with nasal stenting was very successful option [12] .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of infantile non atretic nasal obstruction

Eladl

Khafagy

2018

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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Objective of the study: Evaluate some of the non atretic indications for endoscopic infantile nasal surgery regarding surgical technique, safety, and success. Patients and Methods: Retrospective analysis of 14 infants required endoscopic nasal surgery for severe non atretic nasal blockage in ORL department mansoura university hospital between 2010 and 2017, their age ranged between 1 month and 19 months, 8 female and 6 males. The indications were nasal obstruction due to craniofacial anomaly (Cruozon syndrome) 3 cases, post traumatic nasal adhesions 10 cases, and congenital pyriform aperture stenosis in 1 case. Endoscopic nasal surgery was conducted to perform widening of the nasal airway through bilateral partial inferior turbinectomy in Cruozon syndrome, nasal adhesolysis with or without stenting in post traumatic nasal adhesions, or trans nasal correction of pyriform aperture stenosis. Results: All patients showed postoperative improvement without restenosis or complications during follow up period in all study groups, only one patient of nasal adhesions group showed restenosis and didn't complete the follow up. Conclusion: TVarious non atretic indications for infantile endoscopic surgery as nasal adhesions, nasal obstruction in crouzon syndrome and CPAS could properly managed with endoscopic surgery. Careful management of nasal obstruction during neonatal care with delicate handling is very important to avoid unnecessary complications as nasal adhesions. Proper knowledge and experience with endoscopic surgery in this age is mandatory regarding the preoperative preparation and planning, operative technique, and post operative follow up. The technique is challenging and required good experience yet it is rewarding and mostly successful.

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Section: Discussionmentioning

confidence: 99%

Endoscopic management of infantile non atretic nasal obstruction

Eladl

Khafagy

2018

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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“…Milder cases respond to conservative treatment, as the stenosis improves with age [3, 4]. Conservative measures include nasal humidifiers, nasal decongestants, treatment of reflux, and an oral airway [4, 5]. Those who fail conservative airway management, indicated by continued respiratory difficulty and poor weight gain, may require interventions such as endotracheal intubation, feeding tubes, or more aggressive interventions such as surgery [6, 7].…”

Section: Introductionmentioning

confidence: 99%

Modeling congenital nasal pyriform aperture stenosis using computational fluid dynamics

Patel

Krebs

et al. 2018

International Journal of Pediatric Otorhinolaryngology

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“…Wormald et al. [6] described in their literature and retrospective case review that a PA width of 5.7 mm or less required surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

Congenital nasal pyriform aperture stenosis in association with solitary median maxillary central incisor: unique radiologic features

Yang

Orta

Renk

et al. 2016

Radiology Case Reports

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Solitary median maxillary central incisor (SMMCI) coexists in 34%-65% of patients initially diagnosed with congenital nasal pyriform aperture stenosis. SMMCI, a genetic syndrome, warrants consideration for further screening because of its high prevalence of other diagnostic possibilities—specifically central defects, like nasal obstruction and hypothalamo-pituitary axis abnormalities. We report on a presentation of SMMCI with congenital nasal pyriform aperture stenosis which highlights the unique radiologic features and notes the relationship between these two central associated findings in the literature.

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Congenital nasal pyriform aperture stenosis 5.7mm or less is associated with surgical intervention: A pooled case series

Cited by 44 publications

References 12 publications

Endoscopic management of infantile non atretic nasal obstruction

Endoscopic management of infantile non atretic nasal obstruction

Modeling congenital nasal pyriform aperture stenosis using computational fluid dynamics

Congenital nasal pyriform aperture stenosis in association with solitary median maxillary central incisor: unique radiologic features

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