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Updated: Jan 3, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
CNPAS: A Differential to Choanal Atresia
N R Dhorje1, K D Shah1, T Patel1
1Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, 400022 India.
A 7-day-old infant with feeding issues and hypothermia was diagnosed with pyriform aperture stenosis. Surgical dilation and stenting successfully treated this congenital nasal anomaly.
Area of Science:
- Pediatric Surgery
- Neonatology
- Otolaryngology
Background:
- Congenital nasal anomalies can significantly impact infant feeding and growth.
- Pyriform aperture stenosis is a rare condition causing nasal obstruction in newborns.
Purpose of the Study:
- To report a case of successful surgical management of pyriform aperture stenosis in a neonate.
- To highlight the clinical presentation and diagnostic approach for this condition.
Main Methods:
- Clinical assessment of a 7-day-old male infant presenting with feeding difficulties and failure to thrive.
- Computed Tomography (CT) scan to diagnose pyriform aperture stenosis.
- Surgical dilation and stenting of the stenotic nasal aperture.
Main Results:
- The CT scan confirmed pyriform aperture stenosis.
- Surgical intervention involving dilation and stenting was performed.
- The infant's condition was successfully managed post-operatively.
Conclusions:
- Pyriform aperture stenosis can present with non-specific symptoms like feeding difficulties and hypothermia.
- Early diagnosis and surgical intervention are crucial for successful outcomes in neonates.
- Surgical dilation and stenting is an effective treatment for pyriform aperture stenosis.
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