A 15-day-old female newborn presenting nasal obstruction since birth underwent computed tomography of the paranasal sinuses in our department due to clinical suspicion of choanal atresia. The patient presented no other complaints.
Computed tomography () allowed the diagnosis of pyriform aperture stenosis, which is a rare cause of nasal obstruction in neonates and was first described in 1989.() Pyriform aperture stenosis becomes particularly significant during the first two months of life when infants are mandatory nose breathers.
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Congenital nasal pyriform aperture stenosis with single central megaincisor
FonsecaEKUN, MurakoshiRW, LoureiroRM, SumiDV, SoaresCR, GomesRLE, DanielMM, et al. Congenital nasal pyriform aperture stenosis with single central megaincisor. einstein (São Paulo). 2019;17(2):eAI4525. https://doi.org/10.31744/einstein_journal/2019AI4525
Fonseca,Eduardo Kaiser Ururahy Nunes; Murakoshi,Rodrigo Watanabe; Loureiro,Rafael Maffei; Sumi,Daniel Vaccaro; Soares,Carolina Ribeiro; Gomes,Regina Lucia Elia; Daniel,Mauro Miguel; Funari,Marcelo Buarque de Gusmão. Congenital nasal pyriform aperture stenosis with single central megaincisor. einstein (São Paulo), São Paulo, v. 17, n. 2, eAI4525, Feb. 2019. https://doi.org/10.31744/einstein_journal/2019AI4525
Fonseca,E.K.U.N., Murakoshi,R.W., Loureiro,R.M., Sumi,D.V., Soares,C.R., Gomes,R.L.E., Daniel,M.M., & Funari,M.B.G. (2019). Congenital nasal pyriform aperture stenosis with single central megaincisor. einstein (São Paulo),17(2), eAI4525. https://doi.org/10.31744/einstein_journal/2019AI4525
Fonseca,Eduardo Kaiser Ururahy Nunes and Murakoshi,Rodrigo Watanabe and Loureiro,Rafael Maffei and Sumi,Daniel Vaccaro and Soares,Carolina Ribeiro and Gomes,Regina Lucia Elia and Daniel,Mauro Miguel and Funari,Marcelo Buarque de Gusmão. Congenital nasal pyriform aperture stenosis with single central megaincisor. einstein (São Paulo) [online]. 2019, vol. 17, n. 2, [cited 2024-04-26], eAI4525. Available from: <https://journal.einstein.br/article/congenital-nasal-pyriform-aperture-stenosis-with-single-central-megaincisor/>. ISSN 1679-4508. https://doi.org/10.31744/einstein_journal/2019AI4525
Figure 1
Axial computed tomography scan sections of paranasal sinuses. (A) Open choanae, no atresia. (B) Bilateral and symmetrical thickening and medialization of the anterior aspect of the maxilla, which determines extreme narrowing of pyriform aperture (dotted line, measuring about 0.6cm, normal value = 1.1cm). The image is compatible with congenital pyriform aperture stenosis. (C) Single central megaincisor in median maxillary position and hard palate with triangular configuration, both frequent findings in congenital pyriform aperture stenosis. (D) Three-dimension reconstruction shows narrowing of pyriform aperture and single central megaincisor