| A Case of Respiratory Difficulty Due to Congenital Tracheal
Calcification and Nasal Pyriform Aperture Stenosis |
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Kyu Tae Kim1, Young Mi Kim1, Su Eun Park1, Jae Hong Park1, Hawn Jung Noh2, Hak Jin Kim3 |
1Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea
2Department of Otolaryngology, College of Medicine, Pusan National University, Pusan, Korea
3Department of Radiology, College of Medicine, Pusan National University, Pusan, Korea |
| 선천성 기관 석회화와 조롱박 구멍 협착(Nasal Pyriform Aperture Stenosis)에 의한 호흡 곤란증 1례 |
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김규태1, 김영미1, 박수은1, 박재홍1, 노환종2, 김학진3 |
1부산대학교 의과대학 소아과학교실
2부산대학교 의과대학 이비인후과학교실
3부산대학교 의과대학 방사선과학교실 |
Correspondence:
Jae Hong Park, Email: pedkkt@hanmail.net
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| Abstract |
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Nasal obstruction is a cause of respiratory distress in newborns. The congenital nasal airway obstructive abnormalities are classified into three forms according to the location: posterior choanal atresia, nasal cavity stenosis and congenital nasal pyriform aperture stenosis(CNPAS). CNPAS is located at the anterior part of the nasal fossa. CT is the study of choice to make the diagnosis of CNPAS and rule out other causes of nasal obstruction. Though conservative management of CNPAS is recommended, in cases of severe CNPAS surgical treatment should be considered. Calcification of cartilage in the larynx, trachea and bronchi is extremely rare in children. Such calcifications are generally discovered in young children with congenital stridor. The clinical course is favorable. No case with CNPAS and tracheal calcification is reported in newborn. We report a one-day-old girl with CNPAS and tracheal calcification who presented with respiratory difficulty immediately after birth. |
| Key Words:
Congenital tracheal calcification, Nasal pyriform aperture stenosis |
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