Journal of Otology & RhinologyISSN: 2324-8785

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Research Article, J Otol Rhinol Vol: 3 Issue: 5

Is There a Role for Non-Operative Management of Congenital Nasal Pyriform Aperture Stenosis (CNPAS)?

Jeffrey Cheng1,2*, Vinh Nguyen3 and Lee Smith1,2
1Division of Pediatric Otolaryngology, Cohen Children’s Medical Center, New Hyde Park, NY, USA
2Department of Otolaryngology-Head and Neck Surgery, North Shore-LIJ School of Medicine, Hempstead, NY, USA
3Department of Radiology, North Shore-LIJ School of Medicine, Hempstead, NY,USA
Corresponding author : Jeffrey Cheng
MD, Division of Pediatric Otolaryngology,Cohen Children’s Medical Center, Department of Otolaryngology-Head and Neck Surgery, North Shore-LIJ Medical Center, 430 Lakeville Road, New Hyde Park, NY 11042, USA
Phone: (718)470-7550; Fax: (718)470-4514
E-mail: [email protected]
Received: August 27, 2014 Accepted: September 24, 2014 Published: September 29, 2014
Citation: Cheng J, Nguyen V, Smith L (2014) Is There a Role for Non-Operative Management of Congenital Nasal Pyriform Aperture Stenosis (CNPAS)?. J Otol Rhinol 3:5. doi:10.4172/2324-8785.1000180

Abstract

Is There a Role for Non-Operative Management of Congenital Nasal Pyriform Aperture Stenosis (CNPAS)?

Objective: Describe non-operative management of neonates with congenital pyriform aperture stenosis (CNPAS) and examine clinical features of these patients.

Study design: Consecutive case series with chart review.

Setting: Tertiary, care referral, academic children’s hospital.

Subjects and methods: Comparison of patients diagnosed with CNPAS and treated operatively or non-operatively.

Results: Eleven patients were included in our study. Of eight patients treated surgically, four were female and four were male. The average diameter of the pyriform aperture of those patients was 5.55 mm. Of the non-operatively managed patients, two were female and one was male. The average diameter of the pyriform aperture was 4.83 mm. There was no significant difference in pyriform aperture dimension between the two groups, p = 0.54. All of the CNPAS patients managed non-operatively were isolated CNPAS cases, while in the surgical managed group, half of the patients had significant medical comorbidities and congenital abnormalities.

Conclusion: Non-operative management may be considered in selected patients with CNPAS. Clinical severity of disease should be the primary indicator for surgical or non-operative management.

Keywords: Congenital nasal pyriform aperture stenosis; Computed tomography (CT)

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