Özgür KEMAL, Sinan ATMACA, Ayşe BEL ÇEÇEN, Berkan DÜZGÜN, Hasibe Canan AYGÜN

The use of nasal trumpet as a non-invasive treatment method in congenital nasal stenosis

Newborns and infants are dependent on nasal respiration and therefore, nasalobstructions may lead to life-threatening outcomes in this age group. Althoughthe most common cause of nasal obstruction in newborns are choanal atresia,soft tissue edema, congenital nasal bone anomalies such as narrowness ofthe apertura piriformis and midnasal stenosis should be kept in mind.A 5-day-old infant was referred to our clinic with the complaints of respiratoryproblems. Physical examination revealed nasal bone hypoplasia and saddlenose deformity. In the endoscopic examination, the septum was seen to bedeviated in an ‘S’ shape and the nasal passages were almost completely closed.The paranasal CT examination reported significant narrowing of the airwayin the central part of the nasal cavity. After application of nasal trumpet toboth nasal passages, clinical recovery was determined in the patient and nopathology was determined during the follow-up period.

PDF

___

1. Knegt-Junk K, Bos CE, Berkovits RN. Congenital nasal stenosis in neonates. J Laryngol Otol 1988; 102: 500- 502.

2. Raghavan U, Fuad F, Gibbin KP. Congenital midnasal stenosis in an infant. Int J Pediatr Otorhinolaryngol 2004; 68: 823-825.

3. Şenocak D. Pediyatrik üst solunum yolu obstrüksiyonu. Klinik Gelişim 2005; 18: 87-90.

4. Chinwuba C, Wallman J, Strand R. Nasal airway obstruction: CT assessment. Radiology 1986; 159: 503-506.

5. Ey EH, Han K, Towbin RB, Jaun WK. Bony inlet stenosis as a cause of nasal airway obstruction. Radiology 1988; 168: 477-479.

6. Jones JE, Jacqueline EJ, Oung E, Heier L. Congenital bony nasal cavity deformities. Am J Rhinol 1998; 12: 81-86.

7. Hall RK, Bankier A, Alfred MJ, Kan K, Lucas JO, Perks AG. Solitary median maxillary central incisor, short stature, choanal atresia/midnasal stenosis (SMMCI) syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84: 651-662.

8. Lee KS, Yang CC, Huang JK, Chen YC, Chang KC. Congenital pyrifirm aperture stenosis: surgery and evaluation with three-dimensional computed tomography. Laryngoscope 2002; 112: 918-921.

9. Abbeele TVD, Triglia JM, Francois M, Narcy P. Congenital nasal pyriform aperture stenosis: diagnosis and management of 20 cases. Ann Otol Rhinol Laryngol 2001; 110: 70-75.

10. Özdemir R, Erdeve O, Süslü N, et al. Treatment of congenital nasal cavity stenosis by balloon dilatation in a newborn: A case report. Int J Pediatr Otorhinolaryngol 2011; 75: 960-962.