scholarly journals Case Report: Congenital nasal pyriform aperture stenosis with holoprosencephaly: Diagnosis and surgical management

2021 ◽  
Author(s):  
Melcol Hailu Yilala ◽  
Dawit Kibebew Dibaba ◽  
Messay Gebrekidan ◽  
Dessalegn Tilahun
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Nasal Obstruction ◽  
Choanal Atresia ◽  
Abnormal Development ◽  
Surgical Approaches ◽  
Initial Condition ◽  
Management Options ◽  
Primary Palate ◽  
Pyriform Aperture

Abstract Congenital nasal pyriform aperture stenosis (CNPAS) is a rare cause of neonatal nasal obstruction that clinically mimics choanal atresia. It occurs as a result of abnormal development of primary palate and maxilla, either in isolation or in association with other anomalies. Differentiation between CNSPAS and choanal atresia is critical as management approachers are quite different from one another. Diagnosis can be made clinically and with characteristics CT findings. Management options include both conservative and surgical approaches depending on the patient’s initial condition. Here is reported a case of 33 days infant who was admitted to our NICU with a working diagnosis of CNPAS after she presented with two days of fast breathing and failure to suckle, managed surgically and discharged improved.

Novel maxillary enlargement technique in congenital nasal pyriform aperture stenosis: a case report and literature review

2021 ◽  
Vol 14 (5) ◽  
pp. e240149
Author(s):  
Joona Hallikainen ◽  
Juha Seppa ◽  
Jari Kellokoski
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Nasal Obstruction ◽  
Current Literature ◽  
Surgical Approach ◽  
Clinical Symptoms ◽  
Symptoms And Signs ◽  
Pyriform Aperture ◽  
Review Current

Congenital nasal pyriform aperture stenosis (CNPAS) is a rare cause of neonate nasal obstruction. Because newborns are natural nasal breathers, urgent treatment may be needed. CNPAS is diagnosed by clinical symptoms and signs, and CT. In severe cases, surgical approach is needed. The most often used approach is widening of pyriform aperture via sublabial incision with nasal tubing. We report a novel surgical approach as a curative treatment for CNPAS by immediate transverse enlargement of the maxilla. We also review current literature of the condition focusing on surgical management of the disease.

Hemophilic Arthropathy: Considerations in Management

2001 ◽  
Vol 91 (8) ◽  
pp. 406-414 ◽  
Author(s):  
Thomas J. Chang ◽  
Shenin Mohamed ◽  
Julie Hambleton
Keyword(s):  
Replacement Therapy ◽  
Surgical Management ◽  
Economic Burden ◽  
Disease Process ◽  
Surgical Approaches ◽  
Indications For Surgery ◽  
Management Options ◽  
Hemophilic Arthropathy ◽  
Very High

The authors evaluate nonsurgical and surgical approaches to treating patients with hemophilic arthropathy and review the functional and economic limitations imposed on treating these patients. Indications for surgery are discussed and a case study that incorporates both conservative and surgical management options is presented. While the advent of factor replacement therapy has dramatically changed the course of treatment and prognosis for patients with hemophilia, the authors argue that the economic burden of treating these patients is still very high. The authors recommend that proper conservative and surgical management options for patients with hemophilia should be based upon a thorough understanding of the disease process. (J Am Podiatr Med Assoc 91(8): 406-414, 2001)

Unilateral Choanal Atresia Masquerading as Chronic Sinusitis

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 941-944
Author(s):  
Glenn Rothman ◽  
Robert A. Wood ◽  
Robert M. Naclerio
Keyword(s):  
Congenital Anomaly ◽  
Differential Diagnosis ◽  
Surgical Management ◽  
Nasal Obstruction ◽  
Clinical Presentation ◽  
Chronic Sinusitis ◽  
Choanal Atresia ◽  
Definitive Diagnosis ◽  
Variable Degree ◽  
Endoscopic Evaluation

Choanal atresia is a congenital anomaly usually diagnosed at birth. This case involves bilateral choanal atresia in a newborn with respiratory difficulties in whom there is an inability to pass a #8 French catheter through the nose. In contrast, unilateral choanal atresia causes a variable degree of nasal obstruction that may delay the diagnosis. We report a case of unilateral choanal atresia in a 9-year-old boy diagnosed as having chronic sinusitis with allergic rhinitus. Initial interpretation of a computerized, tomographic (CT) examination confirmed the diagnosis of chronic sinusitis. The definitive diagnosis, however, was made by endoscopic evaluation. A review is presented of the epidemiology, clinical presentation, differential diagnosis, and contemporary surgical management for unilateral choanal atresia.

Simultaneously occurring Zenker's diverticulum and Killian–Jamieson diverticulum: case report and literature review

2017 ◽  
Vol 131 (8) ◽  
pp. 661-666 ◽  
Author(s):  
K E Stewart ◽  
D R K Smith ◽  
S L Woolley
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Surgical Excision ◽  
Zenker’S Diverticulum ◽  
Management Options ◽  
Zenker's Diverticulum ◽  
Cricopharyngeus Muscle ◽  
Anterolateral Wall ◽  
Radiological Studies

AbstractBackground:Pharyngoesophageal diverticula have many subtypes, with Zenker's diverticulum being the most common. First described in 1983, a Killian–Jamieson diverticulum is an outpouching in the anterolateral wall at the pharyngoesophageal junction. This is located inferiorly to the cricopharyngeus muscle, unlike Zenker's diverticula which occur superiorly. Killian–Jamieson diverticula are rare and are commonly misdiagnosed as Zenker's diverticula. Less than 30 reports of Killian–Jamieson diverticula have been described in the literature.Case report:A 69-year-old man presented with a 2-year symptomatic history, and was found to have simultaneous Zenker's diverticulum and Killian–Jamieson diverticulum. He was treated successfully with open surgical excision of both pouches.Conclusion:Zenker's diverticulum and Killian–Jamieson diverticulum are diagnosed using radiological studies and endoscopy. Their differentiation is important, as surgical management differs. This paper reviews the literature on Killian–Jamieson diverticula and the management options available.

Surgical Management of Aortopulmonary Window- a Case Report

2008 ◽  
Vol 4 (1) ◽  
Author(s):  
MR Hoque ◽  
MA Hossain ◽  
Z Rahman ◽  
SMG Saklayen
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Aortopulmonary Window

SURGICAL MANAGEMENT OF OBSTRUCTIVE UROLITHIASIS IN A BITCH: A CASE REPORT

2018 ◽  
Vol 10 (1) ◽  
pp. 082
Author(s):  
Mandakini Sahoo ◽  
Indramani Nath ◽  
Biswadeep Jena ◽  
Siddharth Shankar Behera
Keyword(s):  
Case Report ◽  
Surgical Management

Comprehensive Surgical Management of Chronic Suppurative Osteomyelitis Extending to The Lower Border of Mandible – A Case Report

2018 ◽  
Vol 5 (3) ◽  
Author(s):  
Deepak Kaul ◽  
Farahnaz Muddebihal ◽  
Mohammed Anwar Ul Haque Chand
Keyword(s):  
Developing Countries ◽  
Case Report ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Surgical Debridement ◽  
Reconstruction Plate ◽  
Left Posterior ◽  
High Nutrient ◽  
Inferior Border ◽  
Precipitating Factor

Osteomyelitis of maxillofacial skeleton is common in developing countries such as India. This case report describes successful surgical treatment of chronic suppurative osteomyelitis {CSO} of the mandible of a 35yr old female. The precipitating factor was thought to be eventful extraction in the {left } posterior body at the inferior border of mandible. Methods: Presurgical course of antibiotics ( Amoxycillin and metronidazole for 7 days and later followed by doxycycline for 1 month).Surgical debridement of the affected bone and reinforcing it with reconstruction plate using AO principles was done . Patient was kept on a high nutrient diet consisting of proteins. Conclusion: The case report demonstrates the typical features of CSO . The combination of the antibiotics therapy and surgical debridement was successful in the treatment of chronic suppurative osteomylitis.

Bi-microbial Healthcare-Associate Endocarditis caused by Enterococcus faecalis and Burkholderia cepacia: A Case Report and literature review

2020 ◽  
Vol 02 ◽  
Author(s):  
Masood Ghori ◽  
Nadya O. Al Matrooshi ◽  
Samir Al Jabbari ◽  
Ahmed Bafadel ◽  
Gopal Bhatnagar
Keyword(s):  
Case Report ◽  
Infective Endocarditis ◽  
Literature Review ◽  
Enterococcus Faecalis ◽  
Surgical Management ◽  
Burkholderia Cepacia ◽  
Clinical Presentation ◽  
Complicated Course ◽  
Healthcare Associated ◽  
Echocardiographic Findings

: Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course ,medical and surgical management ,along with microbial and echocardiographic findings is presented herein. The authors believe that presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.

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