Congenital nasal obstruction: clinical and radiologic review

Congenital nasal obstruction can result in neonatal respiratory distress because neonates are obligate nasal breathers. Therefore, all physicians who deal with infants should be familiar with the structural abnormalities, masses, and syndromes that cause nasal obstruction, so that appropriate work-up and treatment can be promptly initiated. This paper reviews the embryology of the nasal passage and then continues with the different causes of nasal obstruction. Special attention is paid to the presentation, physical exam findings, and imaging modality of choice.

[1]  S. Shariff,et al.  Mature Teratoma of the Nasal Vestibule: A Case Report , 2000, Ear, nose, & throat journal.

[2]  J. Leclerc,et al.  Choanal atresia and associated anomalies. , 1987, International journal of pediatric otorhinolaryngology.

[3]  F. Fuad,et al.  Congenital midnasal stenosis in an infant. , 2004, International journal of pediatric otorhinolaryngology.

[4]  L. Cunha,et al.  Down syndrome: otolaryngological effects of rapid maxillary expansion , 2008, The Journal of Laryngology & Otology.

[5]  R. Ward,et al.  Congenital nasal pyriform aperture stenosis. Isolated abnormality vs developmental field defect. , 1992, Archives of otolaryngology--head & neck surgery.

[6]  F. Parro,et al.  Apert's syndrome: modification in corrective techniques. , 1996, The Journal of craniofacial surgery.

[7]  C. Myer,et al.  Congenital nasal pyriform aperture stenosis , 1989, The Laryngoscope.

[8]  L. Lo,et al.  Airway obstruction in severe syndromic craniosynostosis. , 1999, Annals of plastic surgery.

[9]  J. Eloy,et al.  Nasal, septal, and turbinate anatomy and embryology. , 2009, Otolaryngologic clinics of North America.

[10]  J. Drake,et al.  Encephaloceles of the anterior cranial fossa. , 1995, Pediatric neurosurgery.

[11]  A. Jeyakumar,et al.  Choanal Atresia: Embryologic Analysis and Evolution of Treatment, a 30‐Year Experience , 2008, The Laryngoscope.

[12]  J. Triglia,et al.  Congenital Nasal Pyriform Aperture Stenosis: Diagnosis and Management of 20 Cases , 2001, The Annals of otology, rhinology, and laryngology.

[13]  S. Manning,et al.  Choanal Atresia , 1996, The Laryngoscope.

[14]  Gibb Ag.  DEVIATED NASAL SEPTUM. , 1963 .

[15]  A. Fanaroff.  Characterization of Congenital Anomalies in Individuals With Choanal Atresia , 2009 .

[16]  J. Perkins,et al.  Nasopharyngeal teratomas and dermoids: a review of the literature and case series. , 2000, International journal of pediatric otorhinolaryngology.

[17]  F. Denoyelle,et al.  Nasal Dermoid Sinus Cysts in Children , 1997, The Laryngoscope.

[18]  K. Ma,et al.  Nasal glioma. , 2006, Hong Kong medical journal = Xianggang yi xue za zhi.

[19]  C. MacEwen,et al.  Epiphora during the first year of life , 1991, Eye.

[20]  L. Gray.  Deviated Nasal Septum Incidence and Etiology , 1978, The Annals of otology, rhinology & laryngology. Supplement.

[21]  G. Hedlund.  Congenital frontonasal masses: developmental anatomy, malformations, and MR imaging , 2006, Pediatric Radiology.

[22]  I. Schmalfuss,et al.  CT features of congenital nasal piriform aperture stenosis: initial experience. , 1999, Radiology.

[23]  C. Nathan,et al.  Neonatal rhinitis. , 1997, International Journal of Pediatric Otorhinolaryngology.

[24]  N. Tolley,et al.  The management of neonatal rhinitis. , 1992, International journal of pediatric otorhinolaryngology.

[25]  C. Garel,et al.  High Proportion of Pituitary Abnormalities and Other Congenital Defects in Children with Congenital Nasal Pyriform Aperture Stenosis , 2006, Pediatric Research.

[26]  G. Woodson,et al.  Respiratory distress in the neonate. Sequela of a congenital dacryocystocele. , 1995, Archives of otolaryngology--head & neck surgery.

[27]  R. Siegel,et al.  Incidence and Etiology , 2002 .

[28]  L. Heier,et al.  Congenital Bony Nasal Cavity Deformities , 1998, American journal of rhinology.