Congenital nasal cavity stenosis in children with craniosyntosis: A report of 4 rare cases

Liew, Yew Toong; Soo, Siew Shuin; Nathan, Anna Marie; Manuel, Anura Michelle

doi:10.1016/j.anl.2016.10.001

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…CBNS can happen as an isolated anomaly or as part of an associated condition like craniofacial anomalies. Liew et al presented 4 cases of craniosynostosis with bilateral nasal cavity stenosis, what may suggest that children with the abovementioned deformations can also present abnormalities concerning the nasal cavity [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

How does nonsyndromic craniosynostosis affect on bone width of nasal cavity in children? – Computed tomography study

et al. 2018

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Craniosynostosis is caused by premature fusion of one or more cranial sutures, restricting skull, brain and face growth. Nonsyndromic craniosynostosis could disturb the proportions of face. Although morphometric diameters of nasal cavity in healthy children are already known, they have not been established yet in children with nonsyndromic craniosynostosis. The aim our study was to check whether diameters of bone structures of nasal cavity in children with nonsyndromic craniosynostosis measured in CT are within normal range. 249 children aged 0–36 months (96 with clinical diagnosis of nonsyndromic craniosynostosis and 153 in control group) were included into the study. The following diameters were measured on head CT scans: anterior bony width (ABW), bony choanal aperture width (BCAW), right and left posterior bony width (between bone sidewall and nasal cavity septum—RPBW and LPBW). The study group has been divided into 4 categories, depending on child’s age. The dimensions measured between bone structures of nasal cavity were statistically significantly lower in comparison to the control group. They did not depend on the sex for ABW, nor on age in groups 7–12 months and < 2 years for BCAW, RPBW and LPBW. The measured dimensions increased with age. In children with nonsyndromic craniosynostosis the diameter of pyriform aperture and bony choanal aperture were lower than in controls, what may be described as fronto-orbital anomalies. Morphometric measurements of anthropometric indicators on CT scans could be used as standards in the clinical identification of craniosynostosis type and may help in planning surgical procedures, particularly in the facial skeleton in children.

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Section: Discussionmentioning

confidence: 99%

How does nonsyndromic craniosynostosis affect on bone width of nasal cavity in children? – Computed tomography study

et al. 2018

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“…While many surgical approaches for treatment have been attempted, such as midface advancement using Le Fort III or Le Fort II plus zygomatic repositioning, during the early growth stages, there are no reports about the use of these surgical procedures for adult patients. Following a report on successful endoscopic surgery for congenital bony nasal stenosis in Aper and Peiffer syndromes [ 3 ], we decided to drill out the abnormal maxillary bone via gingival incision to provide relief for OSAS resulting from the Crouzon’s syndrome.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of bony nasal airway stenosis in a patient with adult Crouzon’s syndrome

Kamikonya

Inokuchi

Tatehara

et al. 2022

Journal of Surgical Case Reports

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Crouzon’s syndrome is associated with the respiratory impairment of the upper airway due to mid-facial hypoplasia. We managed an adult Crouzon patient who wanted us to treat his choanal and nasopharyngeal stenosis for obstructive sleep apnea relief and tracheostomy tube extubation. We drilled out the abnormal maxillary bone and created a new nasal passage to the pharynx. Epithelialization of the new nasal cavity was completed within a month, and the patient was able to breathe through the nose and his sense of smell improved somewhat after the surgery. Although the apnea-hypopnea index had decreased, sleep apnea remained.

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Craniosynostosis and ENT

Couloigner

Khalfallah

2019

Neurochirurgie

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Congenital nasal cavity stenosis in children with craniosyntosis: A report of 4 rare cases

Cited by 3 publications

References 11 publications

How does nonsyndromic craniosynostosis affect on bone width of nasal cavity in children? – Computed tomography study

How does nonsyndromic craniosynostosis affect on bone width of nasal cavity in children? – Computed tomography study

Surgical treatment of bony nasal airway stenosis in a patient with adult Crouzon’s syndrome

Craniosynostosis and ENT

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