All issues > Volume 45(5); 2002

Case Report

J Korean Pediatr Soc. 2002;45(5):669-672. Published online May 15, 2002.

A Case of Respiratory Difficulty Due to Congenital Tracheal Calcification and Nasal Pyriform Aperture Stenosis

Kyu Tae KT Kim¹, Young Mi YM Kim¹, Su Eun SE Park¹, Jae Hong JH Park¹, Hawn Jung HJ Noh², Hak Jin HJ 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

Correspondence Jae Hong JH Park ,Email: pedkkt@hanmail.net

Abstract

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.

Keywords :Congenital tracheal calcification, Nasal pyriform aperture stenosis