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Congenital nasal stenosis: a report of two cases

Abstract

The human neonate is an obligate nasal breather for a variable period of time after birth. Congenital nasal airway anomalies are potentially dangerous if they are not immediately recognized at birth and if appropriate intervention is not instituted. Here, we report two clinical cases of congenital nasal stenosis seen in the Suez Canal University Hospital in Ismailia in 2016. Approval from our institutional ethics committee and consent from parents of the patients to publish the cases and their photos were obtained. Level of Evidence: 3b.

References

  1. 1

    Harley EH. Pediatric congenital nasal masses. Ear Nose Throat J 1991; 70:28–32.

    CAS  PubMed  Google Scholar 

  2. 2

    Jones KL, Higginbottom MC. Dysmorphology: an approach to diagnosing children with structural defects of the head and neck. Head Neck Surg 1978; 1:35–46.

    CAS  Article  Google Scholar 

  3. 3

    Brown OE, Myer CM, Manning SC. Congenital nasal pyriform aperture stenosis. Laryngoscope 1989; 99:86–91.

    CAS  Article  Google Scholar 

  4. 4

    Sesenna E, Leporati M, Brevi B, Oretti G, Ferri A. Congenital nasal pyriform aperture stenosis: diagnosis and management. Ital J Pediatr 2012; 38:28.

    Article  Google Scholar 

  5. 5

    Burstein FD, Cohen SR. Piriform aperture stenosis: a rare cause of neonatal airway obstruction. Ann Plast Surg 1995; 34:56–58.

    CAS  Article  Google Scholar 

  6. 6

    Losken A, Burstein FD, Williams JK. Congenital nasal pyriform aperture stenosis: diagnosis and treatment. Plast Reconstr Surg 2002; 109:1506–1511; [discussion 1512].

    Article  Google Scholar 

  7. 7

    Tagliarini JV, Nakajima V, Castilho EC. Congenital nasal pyriform aperture stenosis. Braz J Otorhinolaryngol 2005; 71:246–249.

    Article  Google Scholar 

  8. 8

    Lee JJ, Bent JP, Ward RF. Congenital nasal pyriform aperture stenosis: non-surgical management and long-term analysis. Int J Pediatr Otorhinolaryngol 2001; 60:167–171.

    CAS  Article  Google Scholar 

  9. 9

    Sultan B, Lefton-Greif MA, Brown DJ, Ishman SL. Congenital nasal pyriform aperture stenosis: feeding evaluation and management. Int J Pediatr Otorhinolaryngol 2009; 73:1080–1084.

    Article  Google Scholar 

  10. 10

    Garavelli L, Zanacca C, Caselli G, Banchini G, Dubourg C, David V, et al. Solitary median maxillary central incisor syndrome: clinical case with a novel mutation of sonic hedgehog. Am J Med Genet A 2004; 127A:93–95.

  11. 11

    Becktor KB, Sverrild L, Pallisgaard C, Burhøj J, Kjaer I. Eruption of the central incisor, the intermaxillary suture, and maxillary growth in patients with a single median maxillary central incisor. Acta Odontol Scand 2001; 59:361–366.

    CAS  Article  Google Scholar 

  12. 12

    Harrison M, Calvert ML, Longhurst P. Solitary maxillary central incisor as a new finding in CHARGE association: a report of two cases. Int J Paediatr Dent 1997; 7:185–189.

    CAS  Article  Google Scholar 

  13. 13

    Nordgarden H, Jensen JL, Storhaug K. Reported prevalence of congenitally missing teeth in two Norwegian counties. Community Dent Health 2002; 19:258–261.

    PubMed  Google Scholar 

  14. 14

    Kjaer I, Becktor KB, Lisson J, Gormsen C, Russell BG. Face, palate, and craniofacial morphology in patients with a solitary median maxillary central incisor. Eur J Orthod 2001; 23:63–73.

    CAS  Article  Google Scholar 

  15. 15

    Gujrathi CS, Daniel SJ, James AL, Forte V. Management of bilateral choanal atresia in the neonate: an institutional review. Int J Pediatr Otorhinolaryngol 2004; 68:399–407.

    CAS  Article  Google Scholar 

  16. 16

    Hengerer AS, Brickman TM, Jeyakumar A. Choanal atresia: embryologic analysis and evolution of treatment, a 30-year experience. Laryngoscope 2008; 118:862–866.

    Article  Google Scholar 

  17. 17

    Blake KD, Prasad C. CHARGE syndrome. Orphanet J Rare Dis 2006; 1: 34.

    Article  Google Scholar 

  18. 18

    Llorente JL, López F, Morato M, Suárez V, Coca A, Suárez C. Endoscopic treatment of choanal atresia. Acta Otorrinolaringol Esp. 2013; 64:389–395.

    Article  Google Scholar 

  19. 19

    Kwong KM. Current updates on choanal atresia. Front Pediatr 2015; 3:52.

    Article  Google Scholar 

  20. 20

    Niloofar F, Parvathy K, Varma BR, Mamachan XA. Management of congenital choanal atresia: a pedodontist’s role. J Indian Soc Pedod Prev Dent 2015; 33:259–261.

    Article  Google Scholar 

  21. 21

    Carter JM, Lawlor C, Guarisco JL. The efficacy of mitomycin and stenting in choanal atresia repair: a 20 year experience. Int J Pediatr Otorhinolaryngol 2014; 78:307–311.

    Article  Google Scholar 

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Correspondence to Mohamed R. Ahmed MD.

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El-Wany, S., El-Hennawi, D.M., Ahmed, M.R. et al. Congenital nasal stenosis: a report of two cases. Egypt J Otolaryngol 35, 234–238 (2019). https://doi.org/10.4103/ejo.ejo_106_18

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Keywords

  • congenital-C Nose
  • neonates
  • stenosis