Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-18T17:13:03.658Z Has data issue: false hasContentIssue false
  • English
  • Français

Novel use of high-flow nasal cannula therapy in the management of pyriform aperture stenosis: case report

Published online by Cambridge University Press:  19 June 2020

J Fuzi ,
A Teng ,
V Saddi  and
M Soma
J Fuzi*
Affiliation:
Department of Otolaryngology, Sydney Children's Hospital, Randwick, Australia Faculty of Medicine, University of New South Wales, Randwick, Australia
A Teng
Affiliation:
Department of Sleep Medicine, Sydney Children's Hospital, Randwick, Australia Faculty of Medicine, University of New South Wales, Randwick, Australia
V Saddi
Affiliation:
Department of Sleep Medicine, Sydney Children's Hospital, Randwick, Australia Faculty of Medicine, University of New South Wales, Randwick, Australia
M Soma
Affiliation:
Department of Otolaryngology, Sydney Children's Hospital, Randwick, Australia Faculty of Women's and Children's Health, University of New South Wales, Randwick, Australia
*
Author for correspondence: Dr Jordan Fuzi, Department of Otolaryngology, Sydney Children's Hospital, High St, Randwick, NSW2031, Australia E-mail: fuzijordan@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Pyriform aperture stenosis is a rare form of congenital nasal obstruction; it poses a management dilemma for otolaryngologists and physicians alike. It can result in poor weight gain and potentially life-threatening airflow obstruction. The challenge lies in the difficulty to predict which patients will require invasive operative management versus conservative therapy alone.

Case report

This case demonstrates the successful use of high-flow nasal cannula therapy in a young child with pyriform aperture stenosis.

Keywords

Nasal ObstructionConstrictionPathologicNoninvasive VentilationContinuous Positive Airway Pressure
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 6 , June 2020 , pp. 558 - 561
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr J Fuzi takes responsibility for the integrity of the content of the paper

References

Shikowitz, MJ. Congenital nasal pyriform aperture stenosis: diagnosis and treatment. Int J Pediatr Otorhinolaryngol 2003;67:635–9CrossRefGoogle ScholarPubMed
Brown, OE, Myer, CM 3rd, Manning, SC. Congenital nasal pyriform aperture stenosis. Laryngoscope 1989;99:86–91CrossRefGoogle ScholarPubMed
Lin, KL, Lee, KS, Yang, CC, Hsieh, LC, Su, CH, Sun, FJ. The natural course of congenital nasal pyriform aperture stenosis. Laryngoscope 2016;126:2399–402CrossRefGoogle ScholarPubMed
Belden, CJ, Mancuso, AA, Schmalfuss, IM. CT features of congenital nasal piriform aperture stenosis: initial experience. Radiology 1999;213:495–501CrossRefGoogle ScholarPubMed
Wormald, R, Hinton-Bayre, A, Bumbak, P, Vijayasekaran, S. Congenital nasal pyriform aperture stenosis 5.7 mm or less is associated with surgical intervention: a pooled case series. Int J Pediatr Otorhinolaryngol 2015;79:1802–5CrossRefGoogle ScholarPubMed
Esen, E, Bayar Muluk, N, Altintoprak, N, Ipci, K, Cingi, C. Pyriform aperture enlargement in all aspects. J Laryngol Otol 2017;131:476–9CrossRefGoogle ScholarPubMed
Losken, A, Burstein, FD, Williams, JK. Congenital nasal pyriform aperture stenosis: diagnosis and treatment. Plast Reconstr Surg 2002;109:1506–11CrossRefGoogle ScholarPubMed
Osovsky, M, Aizer-Danon, A, Horev, G, Sirota, L. Congenital pyriform aperture stenosis. Pediatr Radiol 2007;37:97–9CrossRefGoogle ScholarPubMed
Gonik, NJ, Cheng, J, Lesser, M, Shikowitz, MJ, Smith, LP. Patient selection in congenital pyriform aperture stenosis repair - 14 year experience and systematic review of literature. Int J Pediatr Otorhinolaryngol 2015;79:235–9CrossRefGoogle ScholarPubMed
Moreddu, E, Le Treut-Gay, C, Triglia, JM, Nicollas, R. Congenital nasal pyriform aperture stenosis: elaboration of a management algorithm from 25 years of experience. Int J Pediatr Otorhinolaryngol 2016;83:7–11CrossRefGoogle Scholar
Franklin, D, Babl, FE, Schlapbach, LJ, Oakley, E, Craig, S, Neutze, J et al. A randomized trial of high-flow oxygen therapy in infants with bronchiolitis. N Engl J Med 2018;378:1121–31CrossRefGoogle ScholarPubMed
Ashraf-Kashani, N, Kumar, R. High-flow nasal oxygen therapy. BJA Educ 2016;17:63–7CrossRefGoogle Scholar
Kotecha, SJ, Adappa, R, Gupta, N, Watkins, WJ, Kotecha, S, Chakraborty, M. Safety and efficacy of high-flow nasal cannula therapy in preterm infants: a meta-analysis. Pediatrics 2015;136:542–53CrossRefGoogle ScholarPubMed
Hawkins, S, Huston, S, Campbell, K, Halbower, A. High-flow, heated, humidified air via nasal cannula treats CPAP-intolerant children with obstructive sleep apnea. J Clin Sleep Med 2017;13:981–9CrossRefGoogle ScholarPubMed
Joseph, L, Goldberg, S, Shitrit, M, Picard, E. High-flow nasal cannula therapy for obstructive sleep apnea in children. J Clin Sleep Med 2015;11:1007–10CrossRefGoogle ScholarPubMed
McGinley, B, Halbower, A, Schwartz, AR, Smith, PL, Patil, SP, Schneider, H. Effect of a high-flow open nasal cannula system on obstructive sleep apnea in children. Pediatrics 2009;124:179–88CrossRefGoogle ScholarPubMed