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Congenital midnasal stenosis: Conservative management
Serap Sahin Onder1, Asli Sahin-Yilmaz1, Ozgul Gergin Tinay1
1Umraniye Research and Education Hospital, Department of Otolaryngology, Turkey.
International Journal of Pediatric Otorhinolaryngology
|February 18, 2020
Summary
Congenital midnasal stenosis (MNS) in neonates can be effectively managed with intranasal mometasone furoate spray (IMS) and continuous positive airway pressure (CPAP). This conservative approach offers an alternative to surgery for nasal obstruction in MNS patients.
Area of Science:
- Pediatric Otolaryngology
- Neonatal Respiratory Medicine
Background:
- Congenital midnasal stenosis (MNS) is a rare and potentially life-threatening condition.
- Diagnosis and management of MNS present significant challenges in neonates.
Purpose of the Study:
- To evaluate the effectiveness of intranasal mometasone furoate spray (IMS) and continuous positive airway pressure (CPAP) in treating neonatal MNS.
- To present a case series highlighting a novel therapeutic approach for MNS.
Main Methods:
- A retrospective review of six consecutive cases of MNS was conducted.
- Treatment strategies included a combination of IMS and CPAP, and endoscopic balloon dilatation with or without subsequent IMS and CPAP.
Main Results:
- Three patients successfully responded to conservative management with IMS and CPAP.
- Two patients required endoscopic balloon dilatation followed by IMS and CPAP for persistent obstruction.
- One patient received only endoscopic balloon dilatation.
Conclusions:
- This case series is the first to demonstrate the efficacy of CPAP and IMS for MNS.
- Conservative management with CPAP and IMS represents a viable alternative therapeutic option to surgery for select MNS patients.
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