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Congenital Nasal Pyriform Aperture Stenosis: Evidence of Premature Fusion of the Midline Palatal Suture

Congenital Nasal Pyriform Aperture Stenosis: Evidence of Premature Fusion of the Midline Palatal... ORIGINAL RESEARCH PEDIATRICS Congenital Nasal Pyriform Aperture Stenosis: Evidence of Premature Fusion of the Midline Palatal Suture T.M. Wine, J.D. Prager, and D.M. Mirsky ABSTRACT BACKGROUND AND PURPOSE: Various etiologies have been theorized for the development of congenital nasal pyriform aperture stenosis (CNPAS). Imaging possibly implicates abnormal fusion of the midline palatal suture and deficient lateral growth of the mid- face in affected neonates. MATERIALS AND METHODS: A single-center, retrospective study was performed at a tertiary care pediatric hospital involving neo- nates and infants between 0 and 90 days of life. Maxillofacial CT scans of patients were reviewed. Abnormality of the palatal suture and midface transverse dimensions were measured and analyzed in patients with and without CNPAS. RESULTS: A total of 109 patients between 0 and 90 days of life had maxillofacial CT scans. Thirteen patients were classified as hav- ing CNPAS, 27 patients had normal scans (control group), and 69 patients were excluded because of the presence of other cranio- facial anomalies. All patients with CNPAS had evidence of abnormal fusion of the midline palatal suture. Zero patients without CNPAS had a midline palatal suture abnormality. The mean widths of the pyriform aperture were 5.7 mm (SD, 1.7) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Congenital Nasal Pyriform Aperture Stenosis: Evidence of Premature Fusion of the Midline Palatal Suture

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Publisher
American Journal of Neuroradiology
Copyright
© 2021 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A7056
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL RESEARCH PEDIATRICS Congenital Nasal Pyriform Aperture Stenosis: Evidence of Premature Fusion of the Midline Palatal Suture T.M. Wine, J.D. Prager, and D.M. Mirsky ABSTRACT BACKGROUND AND PURPOSE: Various etiologies have been theorized for the development of congenital nasal pyriform aperture stenosis (CNPAS). Imaging possibly implicates abnormal fusion of the midline palatal suture and deficient lateral growth of the mid- face in affected neonates. MATERIALS AND METHODS: A single-center, retrospective study was performed at a tertiary care pediatric hospital involving neo- nates and infants between 0 and 90 days of life. Maxillofacial CT scans of patients were reviewed. Abnormality of the palatal suture and midface transverse dimensions were measured and analyzed in patients with and without CNPAS. RESULTS: A total of 109 patients between 0 and 90 days of life had maxillofacial CT scans. Thirteen patients were classified as hav- ing CNPAS, 27 patients had normal scans (control group), and 69 patients were excluded because of the presence of other cranio- facial anomalies. All patients with CNPAS had evidence of abnormal fusion of the midline palatal suture. Zero patients without CNPAS had a midline palatal suture abnormality. The mean widths of the pyriform aperture were 5.7 mm (SD, 1.7)

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: Jun 1, 2021

References