Congenital midnasal stenosis: Conservative management

Önder, Serap Şahin; Sahin-Yilmaz, Aslı; Tinay, Ozgul Gergin; Unsal, Busra

doi:10.1016/j.ijporl.2020.109939

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…1–3 Congenital midnasal stenosis has been previously described as a component of many syndromes, but it was first reported precisely in 2004 by Raghavan et al 4 Case series have subsequently been presented, and diagnosis and treatment modalities have been discussed in the literature. 5–8…”

Section: Introductionmentioning

confidence: 99%

Midnasal stenosis in adults with normative values

et al. 2022

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Background Congenital midnasal stenosis has previously been described as a cause of nasal obstruction in infants, and conservative and interventional treatments have been suggested. However, midnasal stenosis in adults has not been reported and related normative measurements have not been studied. Methods Three adult patients presented with nasal obstruction and, based on examination and radiological findings, were diagnosed with midnasal stenosis. Anatomical measurements were studied in axial and coronal computed tomography scans, and compared with findings for 161 healthy individuals. Results Anatomical measurements showed that the endonasal cavity was larger in males than females. The midnasal region was found to be constricted in patients compared to healthy controls. Conclusion This is the first study to report on midnasal stenosis in adults and to define normative anatomical measurements in adults. In patients presenting with nasal obstruction, midnasal stenosis should be suspected during endoscopic visualisation of medially located middle turbinates and uncinate processes in nasal cavities. A definitive diagnosis of midnasal stenosis can be made by examining paranasal sinus computed tomography scans. Endoscopic middle turbinectomy, complete uncinectomy, mega maxillary antrostomy and partial anterior ethmoidectomy have been suggested to relieve midnasal stenosis.

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