An infrequent cause of neonatal upper airway obstruction: congenital nasal pyriform aperture stenosis presenting to a remote facility

Lahiff, Tahne Joseph, Sotutu, Viliame, Sarachandran, Smrdhi, Speed, Lucas, and Saddi, Vishal (2021) An infrequent cause of neonatal upper airway obstruction: congenital nasal pyriform aperture stenosis presenting to a remote facility. Pediatric Investigation, 5 (3). pp. 244-246.

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Abstract

Introduction: Congenital nasal pyriform aperture stenosis (CNPAS) is a rare congenital condition of structural nasal obstruction. Respiratory distress, stertor, and poor feeding are often presenting features.

Case Presentation: We report a case of a newborn diagnosed with CNPAS at 3 weeks of life. The diagnosis was missed on a nasoendoscopy at day 3 of life but was realised following a facial CT when the infant presented with ongoing symptoms of upper airway obstruction. Nasal dilation was performed successfully.

Conclusion: CNPAS should be considered in any neonate with upper airway obstruction. A normal nasoendoscopy does not exclude the diagnosis.

Item ID: 70165
Item Type: Article (Case Study)
ISSN: 2574-2272
Keywords: Congenital abnormalities, Constriction, Nasal obstruction, Pathologic
Copyright Information: © 2021 Chinese Medical Association. Pediatric Investigation published by John Wiley & Sons Australia, Ltd on behalf of Futang Research Center of Pediatric Development. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Date Deposited: 26 May 2022 01:31
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3213 Paediatrics > 321303 Neonatology @ 100%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200101 Diagnosis of human diseases and conditions @ 100%
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