A Case of Congenital Nasal Piriform Aperture Stenosis (CNPAS) .
- Author:
Ji Young CHUNG
1
;
Yong Hwan CHUNG
;
Jong Woo BAE
;
Byoung Soo CHO
;
Sung Ho CHA
Author Information
1. Department of Pediatrics, College of Medicine, Kyunghee University, Seoul, Korea. tcha0319@netsgo.com
- Publication Type:Case Report
- Keywords:
Nasal piriform aperture stenosis
- MeSH:
Airway Obstruction;
Catheters;
Constriction, Pathologic*;
Humans;
Infant;
Infant, Newborn;
Male;
Nasal Obstruction;
Parturition;
Tomography, X-Ray Computed
- From:Pediatric Allergy and Respiratory Disease
2003;13(1):60-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The congenital nasal piriform aperture stenosis (CNPAS) is a rare cause of neonatal airway obstruction and could be easily mistaken as the choanal stenosis or atresia. The piriform aperture is a term used to refer to the anterior nasal openings. The nasal airway obstruction in the neonate can result in respiratory difficulties and may be going to life threatening consequences. Computed tomography demonstrates in detail the underlying anatomic abnormalities which allows differentiation of the CNPAS from other upper airway abnormalities. We reported a case of CNPAS, a 1-month-old male infant presented with respiratory difficulties. Shortly after birth, he had mild respiratory difficulties and there was difficulty passing a nasal catheter intranasally. But he was improved through only conservative management and discharged at the age of 5 days. At the age of 1 month, CT scan revealed bilateral CNPAS.
