Congenital nasal pyriform aperture stenosis: A case with accompanying short lingual frenulum

Amini, Ehsan; Rabbani, Masoud; Jafarpishe, Mohammad Saleh; Nazem, Masoud

doi:10.4103/2277-9175.187371

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…In fact, Solitary Median Maxillary Central Incisor (SMMCI syndrome) is a developmental abnormality, including midline structures of the head which involves the brain (holoprosencephaly), cranial bones and maxilla, and nasal airways (choanalatresia or CNPAS) [5,6]. In our case, there was no other abnormality associated.…”

Section: Discussionmentioning

confidence: 63%

“…CT scan should be performed with thin section (1.5 mm) images obtained by axial sections parallel to the anterior hard palate. Infact, apparent narrowing may be caused by oblique imaging findings [5].…”

Section: Discussionmentioning

confidence: 99%

“…Other authors used boogies for gradual dilatation of nasal without drilling because, in neonates, the nasal bone is soft and can be dilated [5,7]. Stents are retained for only 6-7 days in cases to limit scar related stenosis and recurrence [1].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Cause of Neonatal Respiratory Distress: Congenital Stenosis of Piriform Aperture

Bouatay¹

2019

OHNS

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Congenital Nasal Pyriform Aperture Stenosis (CNPAS), is a very rare cause of neonatal upper airway obstruction [1]. Its prevalence remains unknown (a few isolated cases were described in literature). It can be isolated or sometimes associated to other midline defects. The diagnosis is suggested by physical examination and confirmed by Computer Tomography (CT) findings. Therapeutic approach depends on the severity of the stenosis [2]. We report a case of CNPAS to highlight the importance of recognizing the classic signs of CNPAS on cross-sectional imaging to prevent fatal out come and to present our experience in the non-surgical management of this rare anomaly. Observation We report the case of a full-term female new born, resulting from a pregnancy of normal course with vaginal delivery term at a private

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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A Rare Cause of Neonatal Respiratory Distress: Congenital Stenosis of Piriform Aperture

Bouatay¹

2019

OHNS

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Congenital nasal piriform aperture atresia: A case report and novel finding

Angulo

Jayawardena

Caruso

et al. 2020

International Journal of Pediatric Otorhinolaryngology

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Comparison of Surgical Techniques for the Treatment of Congenital Nasal Pyriform Aperture Stenosis: A Systematic Review

Rosi-Schumacher,

DiNardo,

Reese

et al. 2024

Ann Otol Rhinol Laryngol

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Introduction: Congenital nasal pyriform aperture stenosis (CNPAS) is a rare condition that results in neonatal respiratory difficulty. The purpose of this systematic review was to compare surgical outcomes of drilling versus dilation techniques in the treatment of CNPAS. Methods: Pubmed, Embase, and Cochrane Clinical Trials databases were searched for terms “congenital nasal pyriform aperture stenosis” or “pyriform aperture stenosis” from 2010 to 2021. Twenty-five studies were included that evaluated pediatric patients treated surgically for CNPAS with available outcomes data including complications, revisions, and length of stay. Results: A total of 51 patients with CNPAS were pooled from included studies. The median age was 29 days, 56.9% were female, and 54.9% were born full-term. The median pyriform aperture width before surgery was 5.00 mm (IQR = 4.10, 6.45). Forty (78.4%) patients underwent sublabial drilling, while 6 had a dilation procedure performed with hegar cervical dilators, 2 had a balloon dilation, and 3 were dilated with either an acrylic device, endotracheal tube, or bougie. There were no post-operative complications for 76.5% of patients, while a second surgery was required in 9 (17.6%) patients. The median length of stay was 11 days (IQR = 4, 26). No statistically significant difference was observed between sublabial drilling and surgical dilation techniques with respect to complications, need for revision surgery, or length of stay. Conclusion: Current literature is insufficient to determine if drilling or dilation is more effective in the treatment of CNPAS.

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Congenital nasal pyriform aperture stenosis: A case with accompanying short lingual frenulum

Cited by 3 publications

References 10 publications

A Rare Cause of Neonatal Respiratory Distress: Congenital Stenosis of Piriform Aperture

A Rare Cause of Neonatal Respiratory Distress: Congenital Stenosis of Piriform Aperture

Congenital nasal piriform aperture atresia: A case report and novel finding

Comparison of Surgical Techniques for the Treatment of Congenital Nasal Pyriform Aperture Stenosis: A Systematic Review

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