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Congenital pyriform aperture stenosis: Ten years experience
Cinthia Giselle Pérez1, Paula Gabaldon Masse1, Alejandro Cocciaglia1
1Hospital de Pediatría Juan P. Garrahan, Buenos Aires, Argentina.
Acta Otorrinolaringologica Espanola
|July 23, 2021
Summary
Congenital nasal pyriform aperture stenosis (CNPAS) surgery in neonates showed good short-term outcomes. Avoiding endonasal stenting and craniofacial malformations improved surgical results for CNPAS patients.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Medical Malformations
Background:
- Congenital nasal pyriform aperture stenosis (CNPAS) is a rare neonatal respiratory obstruction.
- Early surgical intervention is often necessary for CNPAS management.
- This study details surgical experiences with CNPAS patients.
Observation:
- A retrospective cohort study analyzed 19 neonates undergoing surgery for CNPAS.
- The sublabial surgical approach was utilized.
- Associated genetic syndromes were present in 47.36% of patients.
Findings:
- Short-term post-surgical outcomes were favorable in 85.7% of cases.
- Endonasal stenting and craniofacial malformations were associated with poorer outcomes.
- Nine patients required no further treatment post-surgery.
Implications:
- Optimizing surgical techniques for CNPAS can improve neonatal respiratory outcomes.
- Identifying and managing associated genetic syndromes is crucial.
- Minimizing interventions like endonasal stenting may enhance recovery.
