Nasal cavity dimensions in congenital pyriform aperture stenosis

Reeves, Travis D.; Discolo, Christopher M.; White, David R.

doi:10.1016/j.ijporl.2013.08.021

Cited by 26 publications

(33 citation statements)

References 5 publications

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“…This midnasal vault narrowing in pyriform aperture stenosis patients has been illustrated in a previous study of nasal cavity dimensions by Reeves et al LW‐1 (lateral nasal wall measurement 1) in this study was described as the measurement from the lateral nasal wall to lateral nasal wall measured in the axial plane halfway between the choana and pyriform aperture. Mean LW‐1 measurement in pyriform aperture stenosis patients in this study was 8.7 ± 0.2 mm, as compared to 13.5 ± 0.28 mm in controls . This measurement technique was chosen for our patients as well due to its reliability and ease.…”

Section: Discussionsupporting

confidence: 67%

“…Computed tomography evidence of narrowing of the anterior nasal cavity distinct from the pyriform aperture and is often seen in patients with pyriform aperture stenosis . This midnasal vault narrowing in pyriform aperture stenosis patients has been illustrated in a previous study of nasal cavity dimensions by Reeves et al LW‐1 (lateral nasal wall measurement 1) in this study was described as the measurement from the lateral nasal wall to lateral nasal wall measured in the axial plane halfway between the choana and pyriform aperture. Mean LW‐1 measurement in pyriform aperture stenosis patients in this study was 8.7 ± 0.2 mm, as compared to 13.5 ± 0.28 mm in controls .…”

Section: Discussionsupporting

confidence: 54%

“…8 Mean LW-1 measurement in pyriform aperture stenosis patients in this study was 8.7 6 0.2 mm, as compared to 13.5 6 0.28 mm in controls. 8 This measurement technique was chosen for our patients as well due to its reliability and ease. Using these landmarks, patient 1's midnasal vault measured 8.0 mm preoperatively, and patient 2's was 11.7 mm.…”

Section: Discussionmentioning

confidence: 39%

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Management of midnasal stenosis with infant surgically assisted rapid palatal expansion (iSARPE)

2018

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Section: Discussionsupporting

confidence: 67%

Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 39%

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Management of midnasal stenosis with infant surgically assisted rapid palatal expansion (iSARPE)

2018

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“…Congenital nasal pyriform aperture stenosis (CNPAS) is a rarely encountered bone-related stenosis occurring bilaterally and manifesting right after child birth [11, 13–16]. The CPNAS syndrome occurs rarely, yet it may coexist with many other developmental disorders [17]. It causes difficult breathing and may clinically mask posterior nares aplasia or stenosis.…”

Section: Introductionmentioning

confidence: 99%

Nasal Region Dimensions in Children: A CT Study and Clinical Implications

Likus

Bajor

Gruszczyńska

et al. 2014

BioMed Research International

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Atresias of nasal cavity, especially in young children, pose an essential problem in children's otolaryngology. Only a few morphometric studies of nasal cavity concerning healthy neonates and young infants without nasal stenosis are available. Multislice computed tomography is a perfect tool enabling a precise evaluation of anatomic structures. The aim of this study was a complex morphometric evaluation of clinically important bone and mucosal structures of nasal cavity and examination of their dependence on age and sex in children up to 3 years of age. 180 children, age range 0–3 years, were divided into 5 age groups, and measurements of 18 distances between skeletal structures and between mucosal structures of nasal cavity were performed on their CT scans. A correlation between the widths of selected bone structures was examined. There were no statistically significant differences in analyzed morphometric parameters between adjacent age groups. The differences were statistically significant only between extreme age groups. There was a correlation between evaluated structures and age. Our results are a valuable supplement of nasal cavity morphometric data of young children. They may be useful in setting reference values of evaluated parameters in children and in diagnosis and planning of surgical treatment in children's otolaryngology.

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“…Widening nasal pyriform aperture by ostectomy through sublabial incision is the most common surgical intervention described in the literature for treating CNPAS when clinical management is not effective. 20 However, this procedure have some limitations. Drilling the nasal wall has anatomic restrictions, and aggressive reductions may involve complications such as injuries to lacrimal system and injury to the tooth buds.…”

Section: Discussionmentioning

confidence: 99%