Particularities of patient management after surgical correction of intranasal structures of nasal cavity

2018 ◽  
Vol 16 (5) ◽  
pp. 68-71
Author(s):  
A. N. Orel ◽  
◽  
M. A. Zavalii ◽  
Keyword(s):  
Nasal Cavity ◽  
Patient Management ◽  
Surgical Correction

scholarly journals Newborn Nasal Obstruction due to Congenital Nasal Pyriform Aperture Stenosis

2016 ◽  
Vol 7 (1) ◽  
pp. ar.2016.7.0146 ◽  
Author(s):  
Thiago L. I. Serrano ◽  
Leopoldo Pfeilsticker ◽  
Vanessa Silva ◽  
Igor Hazboun ◽  
Jorge Paschoal ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Respiratory Distress ◽  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Treatment Strategies ◽  
Rare Condition ◽  
Surgical Correction ◽  
Severe Respiratory Distress ◽  
First Case ◽  
Pyriform Aperture

Introduction Nasal obstruction is an important condition that can lead to severe respiratory distress in newborns. There are several differential diagnoses, and one of them is congenital nasal pyriform aperture stenosis (CNPAS). CNPAS is a rare case of respiratory distress caused by excessive growth of the nasal process of the maxilla and leads to narrowing of the anterior third of the nasal cavity. Diagnosis, associated anomalies, and treatment strategies are reviewed by the following presentation of two cases. Case Presentation We report two cases of infants diagnosed with CNPAS. The patients in the first case had no concomitant comorbidities, and the outcome was successful after surgical correction of stenosis. The patient in the second case had an associated holoprosencephaly, and although surgical correction and nasal cavity patency, the patient remains dependent on tracheostomy due to dysphagia and neurologic impairment. Discussion Airway obstruction affects 1 in 5000 children, and CNPAS is a diagnosis frequently forgotten and even unknown to neonatal and pediatric intensivists. Newborns are obligate nasal breathers, and, nasal obstruction, therefore, can lead to severe respiratory distress. CNPAS is not only rare but, many times, is not easily recognized. It is important to bear in mind the diagnostic criteria when evaluating infants with nasal obstruction. Conservative treatment should be prioritized, but surgical treatment is required in severe cases with failure to thrive and persistent respiratory distress. Respiratory distress and dysphagia may persist to some degree despite correction of the stenotic pyriform aperture due to associated narrowing of the entire nasal cavity and association with other anomalies. Final Comments CNPAS is a rare condition and may be lethal in newborns. Differential diagnosis of nasal obstruction must be remembered to recognize this anomaly, and the otolaryngologist must be familiarized with this condition and its diagnosis. Precise surgical treatment in severe cases have high rates of success in children without other comorbidities.

Evaluation of Choanal Atresia

1985 ◽  
Vol 94 (5) ◽  
pp. 429-432 ◽  
Author(s):  
Bruce Benjamin
Keyword(s):  
Nasal Cavity ◽  
Computerized Tomography ◽  
Cotton Fiber ◽  
Choanal Atresia ◽  
Surgical Correction ◽  
Endoscopic Technique ◽  
Nasal Patency ◽  
Radiological Study

A series of 65 cases of choanal atresia seen in 19 years is reviewed. We use a wisp of cotton fiber held under the nose and a plastic catheter passed into each nasal cavity to test nasal patency. Horizontal computerized tomography is confirmed as the radiological study of choice, and a standard endoscopic technique used during surgical correction is described.

511: Factors Involved in Parental Decision-Making for Surgical Correction of Vesicoureteral Reflux

2007 ◽  
Vol 177 (4S) ◽  
pp. 170-170
Author(s):  
Pamela I. Ellsworth ◽  
Katherine Callaghan ◽  
Eileen Gray ◽  
Anthony Caldamone
Keyword(s):  
Decision Making ◽  
Vesicoureteral Reflux ◽  
Surgical Correction ◽  
Parental Decision ◽  
Parental Decision Making

Surgical correction of recurrent rupture of congenital sinus valsalva aneurysm

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
S. Sandrio ◽  
M. Karck ◽  
M. Gorenflo ◽  
T. Loukanov
Keyword(s):  
Surgical Correction ◽  
Sinus Valsalva Aneurysm
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