A Case of Respiratory Difficulty Due to Congenital Tracheal Calcification and Nasal Pyriform Aperture Stenosis.
- Author:
Kyu Tae KIM
1
;
Young Mi KIM
;
Su Eun PARK
;
Jae Hong PARK
;
Hawn Jung NOH
;
Hak Jin KIM
Author Information
1. Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea. pedkkt@hanmail.net
- Publication Type:Case Report
- Keywords:
Congenital tracheal calcification;
Nasal pyriform aperture stenosis
- MeSH:
Bronchi;
Cartilage;
Child;
Choanal Atresia;
Constriction, Pathologic*;
Diagnosis;
Female;
Humans;
Infant, Newborn;
Larynx;
Nasal Cavity;
Nasal Obstruction;
Parturition;
Respiratory Sounds;
Trachea
- From:Journal of the Korean Pediatric Society
2002;45(5):669-672
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nasal obstruction is a cause of respiratory distress in newborns. The congenital nasal airway obstructive abnormalities are classified into three forms according to the location: posterior choanal atresia, nasal cavity stenosis and congenital nasal pyriform aperture stenosis(CNPAS). CNPAS is located at the anterior part of the nasal fossa. CT is the study of choice to make the diagnosis of CNPAS and rule out other causes of nasal obstruction. Though conservative management of CNPAS is recommended, in cases of severe CNPAS surgical treatment should be considered. Calcification of cartilage in the larynx, trachea and bronchi is extremely rare in children. Such calcifications are generally discovered in young children with congenital stridor. The clinical course is favorable. No case with CNPAS and tracheal calcification is reported in newborn. We report a one-day-old girl with CNPAS and tracheal calcification who presented with respiratory difficulty immediately after birth.
