Document Detail

Apertura pyriformis stenosis in the newborn.
MedLine Citation:
PMID:  16676845     Owner:  NLM     Status:  MEDLINE    
Apertura pyriformis stenosis in the newborn. Respiratory distress in the newborn can have a variety of aetiologies, the best known of which are cardiac and pulmonary diseases. Major nasal airway obstruction is probably often overlooked when acute desaturation of the neonate requires reanimation procedures, although it is well established that the baby is an obligate nose breather at birth. Nasal airway stenosis or atresia could account for a number of unexplained deaths in the delivery room. In the differential diagnosis of major nasal airway obstruction in the newborn, choanal atresia is by far the most common aetiology. However, a few cases of pyriform aperture stenosis have been reported. One child presenting this pathology was recently treated at the Brussels University Children's Hospital. Unexpectedly, the baby survived until 3 months without any medical support but had severe feeding problems. The diagnosis was confirmed by naso-sinusal CT scan. Surgery was performed at 4 months through an unusual endonasal approach which seems to be less traumatic than the classical sublabial approach. The post-operative course was satisfactory. The 9-month-old patient does not now show residual breathing problems. The presentation will focus on this unusual case.
E Jonniaux; P Brihaye; N Bernheim; A L Mansbach
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  B-ENT     Volume:  2     ISSN:  1781-782X     ISO Abbreviation:  B-ENT     Publication Date:  2006  
Date Detail:
Created Date:  2006-05-08     Completed Date:  2006-10-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247842     Medline TA:  B-ENT     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  31-3     Citation Subset:  IM    
University Children's Hospital Reine Fabiola Brussels Free University.
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MeSH Terms
Choanal Atresia / complications,  diagnosis,  surgery
Constriction, Pathologic / complications,  surgery
Infant, Newborn
Nasal Obstruction / etiology*,  surgery
Nose / abnormalities*,  surgery*
Respiratory Distress Syndrome, Newborn / etiology*
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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