Congenital nasal pyriform aperture stenosis: diagnosis and treatment

Plastic and Reconstructive Surgery
Albert LoskenJ Kerwin Williams

Abstract

Congenital nasal pyriform aperture stenosis is an unusual form of nasal airway obstruction in the neonate. Pediatric plastic surgeons are often involved in the management of these children and should recognize this condition and know the treatment options. Fifteen cases of children with congenital nasal pyriform aperture stenosis were reviewed for presentation of the disorder, management, and effectiveness of treatment, making it the largest series to date. There were nine male patients and six female patients in the series. They all experienced varying degrees of nasal obstruction at birth and were managed on the basis of the severity of their symptoms. Twelve patients were treated surgically in the first year of life, with a mean age at operation of 97 days (range, 3 to 362 days). Two patients required surgical intervention during their teenage years (age, 14 and 18 years) because of persistent symptoms, and one patient (age, 2 years) with mild symptoms was managed medically. Associated craniofacial anomalies were present in six cases (40 percent). Surgical enlargement of the pyriform aperture was successfully performed through an upper buccal sulcus incision in 14 patients. Preoperative symptoms of upper airway obstruction w...Continue Reading

References

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Citations

May 6, 2004·International Journal of Pediatric Otorhinolaryngology·U RaghavanK P Gibbin
May 15, 2003·International Journal of Pediatric Otorhinolaryngology·Mark J Shikowitz
Nov 25, 2003·Current Opinion in Otolaryngology & Head and Neck Surgery·Mark Boston, Michael J Rutter
Feb 6, 2004·Plastic and Reconstructive Surgery·Joseph E LoseeScott P Bartlett
May 12, 2011·The Journal of Craniofacial Surgery·Gaurav BhartiLouis C Argenta
Jan 1, 2010·BMJ Case Reports·Eve SmithDerek Bosman
Jun 27, 2012·Italian Journal of Pediatrics·Enrico SesennaAndrea Ferri
Mar 13, 2016·International Journal of Pediatric Otorhinolaryngology·E MoredduR Nicollas
Feb 17, 2015·The Laryngoscope·Marcus Vinicius Martins CollaresMariana Miguel Fraga
Oct 26, 2011·International Journal of Pediatric Otorhinolaryngology·V Visvanathan, D M Wynne
Jun 3, 2009·Otolaryngologic Clinics of North America·James R Tate, Jonathan Sykes
Jan 4, 2005·International Journal of Pediatric Otorhinolaryngology·E Y T ChanY M Fu
Jan 13, 2015·International Journal of Pediatric Otorhinolaryngology·Nathan J GonikLee P Smith
Mar 12, 2021·International Journal of Pediatric Otorhinolaryngology·Francesca GalluzziMario Turri-Zanoni
Mar 27, 2021·AJNR. American Journal of Neuroradiology·T M WineD M Mirsky

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