Subscribe to RSS

DOI: 10.4103/0971-3026.73539
Congenital nasal pyriform aperture stenosis: A rare cause of nasal airway obstruction in a neonate

Abstract
Congenital nasal pyriform aperture stenosis (CNPAS) is a rare cause of nasal airway obstruction that clinically mimics choanal atresia, but needs to be differentiated from the latter because of the widely divergent modes of management. We present a case of CNPAS, to highlight the importance of recognizing the classic signs of CNPAS on cross-sectional imaging.
Publication History
Article published online:
02 August 2021
© 2010. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Brown OE, Myer CM 3 rd , Manning SC. Congenital nasal pyriform aperture stenosis. Laryngoscope 1989;99:86-91.
- 2 Belden CJ, Mancuso AA, Schmalfuss IM. CT features of congenital nasal piriform aperture stenosis: Initial experience. Radiology 1999;213:495-501.
- 3 Ey EH, Han BK, Towbin RB, Jaun WK. Bony inlet stenosis as a cause of nasal airway obstruction. Radiology 1988;168:477-9.
- 4 Rozner L. Nasal obstruction due to restriction of the bony nasal inlet. Br J Plast Surg 1964;17:287-96.
- 5 Robson CD, Hudgins PA. Pediatric airway disease. In: Som PM, Curtin HD, editors. Head and Neck Imaging. 4 th ed. Missouri: Mosby; 2003. p. 1540-2.
- 6 Moore KL. The branchial apparatus and the head and neck. The developing human: Clinically oriented embryology. Philadelphia: Saunders; 1982.
- 7 Contencin P, Gumpert L, Sleiman J, Possel L, Gaudemar ID, Adamsbaum C. Nasal fossae dimensions in the neonate and young infant. Arch Otolaryngol Head Neck Surg 1999;125:777-81.
- 8 Arlis H, Ward RF. Congenital nasal pyriform aperture stenosis. Isolated abnormality vs developmental field defect. Arch Otolaryngol Head Neck Surg 1992;118:989-91.
- 9 Lo FS, Lee YJ, Lin SP, Shen EY, Huang JK, Lee KS. Solitary maxillary central incisor and congenital nasal pyriform aperture stenosis. Eur J Pediatr 1998;157:39-44.
- 10 DeMyer W, Zeman W, Palmer CG. The face predicts the brain: Diagnostic significance of median facial anomalies for holoprosencephaly (arhinencephaly). Pediatrics 1964;34:256-63.
- 11 Devambez M, Delattre A, Fayoux P. Congenital nasal pyriform aperture stenosis: Diagnosis and management. Cleft Palate Craniofac J 2009;46:262-7.
- 12 Ramsden JD, Campisi P, Forte V. Choanal atresia and choanal stenosis. Otolaryngol Clin North Am 2009;42:339-52.