Can a more comprehensive treatment plan be based on a growth curve of the pyriform aperture for patients with congenital nasal pyriform aperture stenosis (CNPAS)?
The growth curve of the pyriform aperture in children with CNPAS can aid in treatment planning and predict clinical outcome, but the severity of clinical symptoms rather than the absolute distance between bilateral nasal processes of the maxilla is the most important factor for determining treatment.
Explore this issue:October 2016
Background: Because CNPAS can be life threatening for obligate nasal breathers, early diagnosis is imperative. Computed tomography (CT) and nasal endoscopy are the imaging modalities of choice for establishing a CNPAS diagnosis, but there are no definitive criteria for diagnosing the anomaly. It is difficult to decide on the most appropriate treatment due to a lack of data on the natural course of pyriform aperture development.
Study design: Single-institution retrospective review of CNPAS patients from November 1997 to December 2014.