A Complicated Case of Congenital Nasal Pyriform Aperture Stenosis: Use of a Long-term Unilateral Nasal Stent
| Autor: | Mahmoud I. Awad, Carol Li, Alison Maresh |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Pyriform aperture stenosis Constriction Pathologic 03 medical and health sciences 0302 clinical medicine Nose Diseases medicine Humans 030223 otorhinolaryngology Reduction (orthopedic surgery) Dexamethasone Surgical repair business.industry Infant Newborn Reflux Infant Stent Surgery Otorhinolaryngology 030220 oncology & carcinogenesis Female Stents Nasal administration Nasal stent Nasal Cavity Nasal Obstruction Oral Surgery business medicine.drug |
| Zdroj: | The Cleft Palate-Craniofacial Journal. 56:1239-1242 |
| ISSN: | 1545-1569 1055-6656 |
| DOI: | 10.1177/1055665619849346 |
| Popis: | This case describes a full-term baby with pyriform aperture stenosis who failed intranasal dexamethasone and reflux therapy. She underwent repair via a sublabial approach and inferior turbinate reduction. Symptoms initially improved but she was unable to be weaned from intranasal steroids. Three subsequent surgeries ensued, including lysis of synechiae, further turbinate reduction, and placement of custom nasal stents, which failed as they became clogged frequently and were easily dislodged, leading to increased intranasal manipulation and postprocedural inflammation. She was eventually fitted and discharged with a large, unilateral stent. After 8 weeks, the stent was removed; she was tolerating full oral feeds. This case highlights the limitations of surgical repair and describes nontraditional uses of stenting. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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